Individual
MISS ASHLEY B ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
279 ASH ST, 3RD FLOOR, MANCHESTER, NH 03104-3774
(603) 289-3182
Mailing address
279 ASH ST, 3RD FLOOR, MANCHESTER, NH 03104-3774
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0339
NH
Other
Enumeration date
03/02/2007
Last updated
04/11/2009
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