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Individual

MS. MARY ELIZABETH CAPUANO-YATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
6 DIXON AVE, CONCORD, NH 03301-4944
(603) 224-1551
Mailing address
2 DOGWOOD TER, PENACOOK, NH 03303-3416
(603) 219-6815

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0413
NH

Other

Enumeration date
04/26/2011
Last updated
04/26/2011
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