Provider Demographics
NPI:1023224748
Name:VANHOUDT, PATRICIA ANN (COTA L)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:VANHOUDT
Suffix:
Gender:F
Credentials:COTA L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 POND BROOK RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTERFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03466-3504
Mailing Address - Country:US
Mailing Address - Phone:603-256-8804
Mailing Address - Fax:
Practice Address - Street 1:195 POND BROOK RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTERFIELD
Practice Address - State:NH
Practice Address - Zip Code:03466-3504
Practice Address - Country:US
Practice Address - Phone:603-256-8804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0518224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant