Provider Demographics
NPI:1033748215
Name:ROY, KERRY COTTLE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:KERRY
Middle Name:COTTLE
Last Name:ROY
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 HANCOCK RD
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1109
Mailing Address - Country:US
Mailing Address - Phone:603-924-6707
Mailing Address - Fax:
Practice Address - Street 1:10 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:ANTRIM
Practice Address - State:NH
Practice Address - Zip Code:03440-3607
Practice Address - Country:US
Practice Address - Phone:603-588-6371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2654225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
380995OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
NH2654OtherSTATE OF NH OFFICE OF ALLIED HEALTH PROFESSIONALS