Individual
MS. AMANDA ROSE HANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
(603) 625-1148
Mailing address
598 MAIN ST, ELIOT, ME 03903-2292
(860) 859-7156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11250
CA
225XP0200X
Pediatric Occupational Therapist
Primary
2251
NH
Other
Enumeration date
06/28/2010
Last updated
09/18/2012
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