Provider Demographics
NPI:1841835451
Name:HUTCHINSON, ISAAC JAMES (MS, OTR/L)
Entity type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:JAMES
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-2005
Mailing Address - Country:US
Mailing Address - Phone:603-330-0566
Mailing Address - Fax:
Practice Address - Street 1:13 MONARCH WAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-0386
Practice Address - Country:US
Practice Address - Phone:603-330-0566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2410225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist