Individual
MIRANDA SHERBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 PINE STREET, MANCHESTER, NH 03101
(413) 265-6858
Mailing address
8 LAUREL HILL DR, SANDOWN, NH 03873-2410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2473
NH
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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