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Individual

MRS. LISA MARIE LANGLOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
122 NH ROUTE 12A UNIT 2, LANGDON, NH 03602-8263
(603) 835-7109
Mailing address
122 NH ROUTE 12A UNIT 2, LANGDON, NH 03602-8263
(603) 835-7109

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1241
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020269789
NH
Enumeration date
08/17/2021
Last updated
08/17/2021
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