Larissa Hine, OTR/L | |
189 Prouty Dr, Newport, VT 05855-9820 | |
(802) 334-7331 | |
Not Available |
Full Name | Larissa Hine |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 189 Prouty Dr, Newport, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912488313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 10543 (Massachusetts) | Secondary |
225X00000X | Occupational Therapist | 0112027 (Vermont) | Primary |
Provider Name | Nisma Therapy Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316678097 PECOS PAC ID: 7719334374 Enrollment ID: O20231116002119 |
Mailing Address | Practice Location Address |
---|---|
Larissa Hine, OTR/L 383 Holbrook Bay Cmns Apt 17, Newport Center, VT 05857-9315 Ph: (508) 521-3039 | Larissa Hine, OTR/L 189 Prouty Dr, Newport, VT 05855-9820 Ph: (802) 334-7331 |
Desiree Ann Rice, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Bel Aire Dr, Newport, VT 05855 Phone: 802-334-2878 | |
Kristen L Jackson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2023 Beebe Rd, Newport, VT 05855 Phone: 802-274-0369 | |
Gail Waecker, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Bel Aire Dr, Newport, VT 05855 Phone: 802-334-2878 | |
Johanne Champigny, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Medical Village Dr, Suite 3, Newport, VT 05855 Phone: 180-233-4326 Fax: 180-233-4416 |