Provider Demographics
NPI:1689095887
Name:CRARY, AIYANA MAYE
Entity Type:Individual
Prefix:
First Name:AIYANA
Middle Name:MAYE
Last Name:CRARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AIYANASUZOKO
Other - Middle Name:
Other - Last Name:MAYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:147 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3131
Mailing Address - Country:US
Mailing Address - Phone:603-218-2337
Mailing Address - Fax:603-218-2337
Practice Address - Street 1:147 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3131
Practice Address - Country:US
Practice Address - Phone:603-218-2337
Practice Address - Fax:603-218-2337
Is Sole Proprietor?:No
Enumeration Date:2013-12-16
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11093225X00000X
NH2857225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist