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Individual

CHRISTINE MARIE DEARBORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
182 W MAIN ST, CONWAY, NH 03818-6140
(603) 447-6356
(603) 447-1114
Mailing address
PO BOX 802, CENTER OSSIPEE, NH 03814-0802
(603) 536-1549
(603) 447-1114

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2185
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30390418
NH
Enumeration date
05/18/2007
Last updated
07/08/2007
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