Individual
MAKAYLA VANDEMOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
70 BUTLER ST, SALEM, NH 03079-3925
(603) 893-2900
Mailing address
10 GEORGE ST, LOWELL, MA 01852-2241
(978) 452-1776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11321
MA
225X00000X
Occupational Therapist
2368
NH
Other
Enumeration date
01/28/2016
Last updated
06/09/2021
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