Individual
BONITA HAZEL CARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
1276 HANOVER ST, MANCHESTER, NH 03104-5623
(603) 622-6232
Mailing address
137 SHADOW LAKE RD, SALEM, NH 03079-1425
(603) 622-3262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0377
NH
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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