Individual
MRS. MARY E PROULX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PHEASANT RD, PETERBOROUGH, NH 03458-2110
(603) 924-7267
Mailing address
50 PHEASANT RD, PETERBOROUGH, NH 03458-2110
(603) 924-7267
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0624
NH
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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