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Individual

MRS. TERRIELLEN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA, COTA

Contact information

Practice address
24 OLD ETNA ROAD, LEBANON, NH 03766
(603) 442-4207
Mailing address
91 MT. HUNGER ROAD, HARTLAND, VT 05048
(802) 436-2847

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0566
NH
224Z00000X
Occupational Therapy Assistant
073-0000184
VT
225200000X
Physical Therapy Assistant
Primary
0925
NH

Other

Enumeration date
01/24/2008
Last updated
01/24/2008
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