Provider Demographics
NPI:1659017671
Name:LECLAIR, CHRISTIE N (OTR/L)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:N
Last Name:LECLAIR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:CHRISTIE
Other - Middle Name:NICOLE
Other - Last Name:LECLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:150 WAKEFIELD ST STE 8
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-1300
Mailing Address - Country:US
Mailing Address - Phone:603-333-3678
Mailing Address - Fax:603-335-7367
Practice Address - Street 1:65 CHAMBERLAIN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3307
Practice Address - Country:US
Practice Address - Phone:603-235-9689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1350225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist