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Individual

JENNIFER GOSSELIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR L

Contact information

Practice address
21 SEARLES ROAD, WINDHAM, NH 03807
(603) 890-1290
Mailing address
68 OLDE MADBURY LANE, DOVER, NH 03820-5443
(603) 978-5467

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1888
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U2543730601
CIGNA HEALTH CARE OAP
NH
Enumeration date
03/14/2007
Last updated
07/08/2007
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