Individual
MRS. SANDRA L DORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
239 PLEASANT ST, CONCORD, NH 03301-7504
(603) 224-6561
Mailing address
274 JEFFERSON DR, HILLSBORO, NH 03244-5314
(603) 464-5097
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
555
NH
Other
Enumeration date
03/19/2007
Last updated
07/07/2008
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