Individual
DALE A TUCCELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 RANGE RD STE R03, WINDHAM, NH 03087-2026
(603) 898-0030
(603) 894-6343
Mailing address
168 WALTON RD UNIT 58, SEABROOK, NH 03874-4500
(781) 974-7929
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7878
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020468793
FED TAX ID
NH
Enumeration date
08/28/2020
Last updated
08/28/2020
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