Provider Demographics
NPI:1225173610
Name:MOSER, ELIZABETH (OT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MOSER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:7227 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:NH
Mailing Address - Zip Code:03307-1615
Mailing Address - Country:US
Mailing Address - Phone:603-455-9705
Mailing Address - Fax:603-556-8448
Practice Address - Street 1:191 PEACHAM RD
Practice Address - Street 2:
Practice Address - City:CENTER BARNSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03225-3860
Practice Address - Country:US
Practice Address - Phone:603-494-1455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1476225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH5775880Medicare UPIN
NH13Y003040NH01Medicare UPIN