Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN POLEY MCKENNA
Active Sole ProprietorMR. ETHAN POLEY MCKENNA is a Occupational Therapy Assistant healthcare provider located in PORTSMOUTH, New Hampshire. NPI 1669198594 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PORTSMOUTH, NH
Registration Details
- NPI Number
- 1669198594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2022 (3.8008263903797 yrs)
- Last Updated
- Oct 12, 2022
- License
-
0893 (NH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 OSPREY DRPORTSMOUTH, NH, 038013335Browse NH providers · Browse ZIP 03801
- Phone
- 4847944037
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in PORTSMOUTH, NH
| Name | Credential | NPI |
|---|---|---|
| CATHERINE M CANTWELL | — | 1932442308 |
| MISS MEREDITH VIANO-CARTER | — | 1053710327 |
| COLLINE DREYFUSS | COTA | 1427457795 |
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.