Individual
MICHELLE LEE GOUVEIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
30 COUNTY DR, LACONIA, NH 03246-2900
(603) 527-5410
Mailing address
PO BOX 1259, LACONIA, NH 03247-1259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
788
NH
Other
Enumeration date
07/06/2007
Last updated
02/21/2009
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