Individual
LISA GANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
22 TUCK RD, HAMPTON, NH 03842-1225
(603) 926-4551
Mailing address
42 DRINKWATER RD, EXETER, NH 03833-4600
(603) 778-1545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0531
NH
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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