Provider Demographics
NPI:1013163302
Name:DUQUETTE, ERIC PIERRE (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:PIERRE
Last Name:DUQUETTE
Suffix:
Gender:M
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 1:44 ELANOR WAY
Mailing Address - Street 2:
Mailing Address - City:WEARE
Mailing Address - State:NH
Mailing Address - Zip Code:03281-5560
Mailing Address - Country:US
Mailing Address - Phone:603-529-8616
Mailing Address - Fax:
Practice Address - Street 1:44 ELANOR WAY
Practice Address - Street 2:
Practice Address - City:WEARE
Practice Address - State:NH
Practice Address - Zip Code:03281-5560
Practice Address - Country:US
Practice Address - Phone:603-529-8616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1612225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist