Provider Demographics
NPI:1275865800
Name:CHOUINIERE, LISA EMILY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:EMILY
Last Name:CHOUINIERE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 SLATE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05301-8097
Mailing Address - Country:US
Mailing Address - Phone:802-689-9209
Mailing Address - Fax:
Practice Address - Street 1:103 ROXBURY ST STE 200C
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-8802
Practice Address - Country:US
Practice Address - Phone:802-355-6637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT072.0063546225X00000X
NH2972225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2972OtherNH STATE OT LICENSE