Provider Demographics
NPI:1235537689
Name:DUPERE, CAROLINE MIDDLEBROOK (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:MIDDLEBROOK
Last Name:DUPERE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:MIDDLEBROOK
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:493 OLD SPRINGFIELD RD.
Mailing Address - Street 2:
Mailing Address - City:SUNAPEE
Mailing Address - State:NH
Mailing Address - Zip Code:03782
Mailing Address - Country:US
Mailing Address - Phone:603-504-4566
Mailing Address - Fax:
Practice Address - Street 1:12 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:NH
Practice Address - Zip Code:03255-5916
Practice Address - Country:US
Practice Address - Phone:603-504-4566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-17
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2367225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist