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Individual

DR. CAROL BALLENTINE ANDREW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EDD, OTR

Contact information

Practice address
442 US ROUTE 4, ENFIELD, NH 03748-0808
(603) 632-7887
Mailing address
PO BOX 808, ENFIELD, NH 03748-0808

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0143
NH

Other

Enumeration date
08/20/2006
Last updated
07/08/2007
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