Provider Demographics
NPI:1801253190
Name:KABEL, RUTH (OTR)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:KABEL
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 1:28 IRENE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NH
Mailing Address - Zip Code:03049-6435
Mailing Address - Country:US
Mailing Address - Phone:603-465-7487
Mailing Address - Fax:
Practice Address - Street 1:28 IRENE DR
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NH
Practice Address - Zip Code:03049-6435
Practice Address - Country:US
Practice Address - Phone:603-465-7487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0461225X00000X
MA1671225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist