Individual
MS. KIM LORRAINE WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
607 TENNEY MOUNTAIN HWY STE 144, PLYMOUTH, NH 03264-3156
(603) 455-9646
Mailing address
961 DANA HILL RD, NEW HAMPTON, NH 03256-4534
(603) 455-9646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
3257
NH
225X00000X
Occupational Therapist
Primary
1997
NH
Other
Enumeration date
07/21/2011
Last updated
06/21/2019
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