Provider Demographics
NPI:1336267244
Name:RAYNO, LEAH JEANETTE (OTR)
Entity Type:Individual
Prefix:MISS
First Name:LEAH
Middle Name:JEANETTE
Last Name:RAYNO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WHITTEMORE RD.
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03268-0016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2505
Practice Address - Country:US
Practice Address - Phone:603-225-6644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1827225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1053789OtherCERTIFICATION NUMBER
NH1827OtherOTR LICENSE