Individual
KRYSTAL GAIDIS SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
70 BUTLER ST, SALEM, NH 03079-3925
(603) 893-2900
Mailing address
16 ROBERTS RD, DOVER, NH 03820-4624
(603) 512-4320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1771
NH
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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