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Individual

GINA MERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
200 PLEASANT ST, CONCORD, NH 03301-2505
(603) 225-3970
Mailing address
233 LYNNFIELD ST, LYNN, MA 01904-1632
(603) 998-6167

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
548
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
548
NH LISENCE
MA
Enumeration date
01/18/2013
Last updated
01/18/2013
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