Individual
CHARLES DEMOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 HARVEY RD, LONDONDERRY, NH 03053-7449
(800) 657-6517
Mailing address
1792 S 32ND ST APT C, KANSAS CITY, KS 66106-2886
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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