Provider Demographics
NPI:1992027536
Name:LEMERISE, HOLLY LYNN (OTR/L)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:LYNN
Last Name:LEMERISE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 PRESCOTT RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NH
Mailing Address - Zip Code:03833-6501
Mailing Address - Country:US
Mailing Address - Phone:603-772-9735
Mailing Address - Fax:
Practice Address - Street 1:54 PRESCOTT RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NH
Practice Address - Zip Code:03833-6501
Practice Address - Country:US
Practice Address - Phone:603-772-9735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0708225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist