Individual
ALYSSA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
719 N MAIN ST, LACONIA, NH 03246-2741
(603) 524-8811
(603) 524-0262
Mailing address
PO BOX 754, ASHLAND, NH 03217-0754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001
LICENSE NUMBER
NH
Enumeration date
06/03/2010
Last updated
10/11/2024
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