Individual
JAMIE M PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
(603) 625-1148
Mailing address
555 AUBURN ST, MANCHESTER, NH 03103-4803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1516
NH
225XP0200X
Pediatric Occupational Therapist
Primary
1516
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13Y003699NH01
ANTHEM- NH
NH
Enumeration date
11/09/2006
Last updated
05/03/2010
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