Individual
AMELIA KEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
325 DANIEL WEBSTER HWY, BOSCAWEN, NH 03303-2410
(603) 848-5929
Mailing address
399 COLLINS RD, WARNER, NH 03278-4208
(603) 848-5929
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0544
NH
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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