Organization
COCHECHO PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYJANE STENSLIE (OWNER)
(603) 740-0059
Entity
Organization
Contact information
Practice address
10 BAYVIEW RD, DURHAM, NH 03824-2406
(603) 740-0059
Mailing address
10 BAYVIEW RD, DURHAM, NH 03824-2406
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11320498
CAQH
NH
Enumeration date
01/28/2008
Last updated
01/28/2008
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