Basic Information
| Provider Information | |||||||||
| NPI: | 1295399368 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | MAGID | ||||||||
| FirstName: | OLIVIA | ||||||||
| MiddleName: | ERIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7 LOUISBURG SQ APT 2 | ||||||||
| Address2: | |||||||||
| City: | NASHUA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030605531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2015666105 | ||||||||
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| Practice Location | |||||||||
| Address1: | 522 AMHERST ST STE 22 | ||||||||
| Address2: | |||||||||
| City: | NASHUA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030631030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6038800448 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2019 | ||||||||
| LastUpdateDate: | 02/25/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 5201010298 | MI | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225X00000X | 3060 | NH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
ID Information
| ID | Type | State | Issuer | Description | 5201010298 | 05 | MI | MEDICAID | 3060 | 01 | NH | ALLIED HEALTH | OTHER |