Provider Demographics
NPI:1609885631
Name:HANSCOM, ANGELA JOLINE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:JOLINE
Last Name:HANSCOM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:JOLINE
Other - Last Name:MORENCY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:535 SCRUTON POND ROAD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825
Mailing Address - Country:US
Mailing Address - Phone:603-664-2929
Mailing Address - Fax:
Practice Address - Street 1:535 SCRUTON POND RD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825
Practice Address - Country:US
Practice Address - Phone:603-664-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2887225X00000X
NH1912225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist