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Individual

GAIL JEANNE LICCIARDELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
777 LAFAYETTE RD, HAMPTON, NH 03842-1228
(603) 929-3032
(603) 926-6238
Mailing address
777 LAFAYETTE RD, HAMPTON, NH 03842-1228
(603) 929-3032
(603) 926-6238

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
NH202
NH

Other

Enumeration date
07/07/2010
Last updated
07/07/2010
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