Individual
DENISE DEMELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 GOFFS FALLS RD, SUITE 101, MANCHESTER, NH 03111-1000
(800) 995-2673
Mailing address
3000 GOFFS FALLS RD, SUITE 101, MANCHESTER, NH 03111-1000
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08345
MD
225X00000X
Occupational Therapist
11511
MA
225X00000X
Occupational Therapist
118118
TX
225X00000X
Occupational Therapist
120741
AK
225X00000X
Occupational Therapist
17501
CA
225X00000X
Occupational Therapist
OT-1626
HI
225X00000X
Occupational Therapist
OT14285
FL
Other
Enumeration date
01/24/2017
Last updated
05/11/2018
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