Basic Information
Provider Information
NPI: 1649427527
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUCLAIR
FirstName: TONI
MiddleName: M
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 CIMMARRON DR
Address2:  
City: NASHUA
State: NH
PostalCode: 030621472
CountryCode: US
TelephoneNumber: 6035987576
FaxNumber:  
Practice Location
Address1: 55 HARRIS RD
Address2:  
City: NASHUA
State: NH
PostalCode: 030622145
CountryCode: US
TelephoneNumber: 6038881573
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/22/2008
LastUpdateDate: 08/22/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X0909NHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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