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Individual

NICOLE GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
20 INDUSTRIAL PARK DR, NASHUA, NH 03062-3178
(603) 882-4500
(603) 882-4545
Mailing address
20 INDUSTRIAL PARK DR, NASHUA, NH 03062-3178
(603) 882-4500
(603) 882-4545

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2670
NH
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3115562
NH
Enumeration date
12/11/2017
Last updated
06/06/2019
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