Provider Demographics
NPI:1811033053
Name:GETMAN-WEISSBERG, SUSAN MELISSA (OTRL)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:MELISSA
Last Name:GETMAN-WEISSBERG
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 AMHERST ST
Mailing Address - Street 2:SNHRC
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1220
Mailing Address - Country:US
Mailing Address - Phone:603-577-8400
Mailing Address - Fax:603-577-8405
Practice Address - Street 1:460 AMHERST ST
Practice Address - Street 2:SNHRC
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1220
Practice Address - Country:US
Practice Address - Phone:603-577-8400
Practice Address - Fax:603-577-8405
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1496225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist