Provider Demographics
NPI:1770709552
Name:LAROCK, ABBY A (OT)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:A
Last Name:LAROCK
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MIDDLE HANCOCK RD
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-2046
Mailing Address - Country:US
Mailing Address - Phone:603-924-7814
Mailing Address - Fax:603-924-3053
Practice Address - Street 1:25 MIDDLE HANCOCK RD
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-2046
Practice Address - Country:US
Practice Address - Phone:603-924-7814
Practice Address - Fax:603-924-3053
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH99225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE7611Medicare ID - Type Unspecified