Provider Demographics
NPI:1346627346
Name:TODD, LIAN LIN (OT)
Entity Type:Individual
Prefix:
First Name:LIAN
Middle Name:LIN
Last Name:TODD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CENTRAL ST
Mailing Address - Street 2:APT 1
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857
Mailing Address - Country:US
Mailing Address - Phone:603-380-1393
Mailing Address - Fax:
Practice Address - Street 1:2 CENTRAL ST
Practice Address - Street 2:APT 1
Practice Address - City:NEWMARKET
Practice Address - State:NH
Practice Address - Zip Code:03857-1605
Practice Address - Country:US
Practice Address - Phone:160-338-0139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11583225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics