Individual
TARA BROCHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
267 PEMBROKE ST, PEMBROKE, NH 03275-1361
(603) 485-5188
Mailing address
267 PEMBROKE ST, PEMBROKE, NH 03275-1361
(603) 485-5188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1933
NH
Other
Enumeration date
06/30/2008
Last updated
01/21/2021
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