Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. OWEN TANADA TABELISMA, OTR/L
Active Sole ProprietorMR. OWEN TANADA TABELISMA, OTR/L is a Occupational Therapist healthcare provider located in GRANTHAM, New Hampshire. NPI 1073915203 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GRANTHAM, NH
Registration Details
- NPI Number
- 1073915203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2014 (11.948462376065 yrs)
- Last Updated
- Jan 13, 2015
- License
-
072.0077349 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
788 DUNBAR HILL RDGRANTHAM, NH, 037533231Browse NH providers · Browse ZIP 03753
- Phone
- 6092243952
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.