Individual
DANIEL RAYMOND WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
66 NORTH RD, DEERFIELD, NH 03037-1306
(603) 463-7422
Mailing address
121 MOUNTAIN RD, CONCORD, NH 03301-6906
(603) 369-7133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0822
NH
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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