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Individual

MS. MEGGAN ELIZABETH PROKOCIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
442 MAIN ST, FREMONT, NH 03044-3434
(155) 349-2583
Mailing address
47 PRESCOTT RD, EPPING, NH 03042-2919
(315) 534-9258
(315) 534-9258

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
015521-1
NY
225X00000X
Occupational Therapist
10835
CA
225X00000X
Occupational Therapist
Primary
2444
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00313539
NY
05
01815443
NY
Enumeration date
02/11/2009
Last updated
09/18/2024
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