Individual
KRISTEN MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
Mailing address
8 HANCOCK RD, WINDHAM, NH 03087-1200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1648
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANTHEM
13Y007182NH01
NH
01
—
MVP
370318
NH
Enumeration date
12/14/2006
Last updated
07/08/2007
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