Individual
KATHLEEN A WASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
144 CANAL ST, NASHUA, NH 03064-2886
(603) 459-2752
(603) 445-9278
Mailing address
144 CANAL ST, NASHUA, NH 03064-2886
(603) 459-2752
(603) 445-9278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1092
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99560056
—
NH
Enumeration date
02/16/2012
Last updated
02/16/2012
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