Provider Demographics
NPI:1013670561
Name:CARRAHER, WILLIAM (COTA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:CARRAHER
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 OAKWOOD LN APT 3
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-2598
Mailing Address - Country:US
Mailing Address - Phone:603-505-0176
Mailing Address - Fax:
Practice Address - Street 1:5 OAKWOOD LN APT 3
Practice Address - Street 2:
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-2598
Practice Address - Country:US
Practice Address - Phone:603-505-0176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0816224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant