Basic Information
Provider Information
NPI: 1487272464
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VEILLETTE
FirstName: OLIVIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 355 MARLBOROUGH ST APT 7
Address2:  
City: BOSTON
State: MA
PostalCode: 021151714
CountryCode: US
TelephoneNumber: 6039135856
FaxNumber:  
Practice Location
Address1: 7 MARSH BROOK DR STE 101
Address2:  
City: SOMERSWORTH
State: NH
PostalCode: 038786523
CountryCode: US
TelephoneNumber: 6037496686
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2020
LastUpdateDate: 07/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X3015NHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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