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Individual

CHRISTINE MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
195 DOVER POINT RD, DOVER, NH 03820-9147
(603) 742-2612
Mailing address
48 TUTTLE RD, LEE, NH 03861-6423

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1289
ME
225100000X
Physical Therapist
Primary
1551
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30391584
NH
Enumeration date
06/29/2009
Last updated
06/29/2009
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