Provider Demographics
NPI:1902315815
Name:KLOTZ, HILLARY DIANNA (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:DIANNA
Last Name:KLOTZ
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:DIANNA
Other - Last Name:LEBRUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:319 E DUNSTABLE RD
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-4207
Mailing Address - Country:US
Mailing Address - Phone:844-570-5714
Mailing Address - Fax:
Practice Address - Street 1:319 E DUNSTABLE RD
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-4207
Practice Address - Country:US
Practice Address - Phone:844-570-5714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2527225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist