Individual
MRS. MARY JEAN LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 SPARHAWK DR, LONDONDERRY, NH 03053-4016
(413) 858-7231
Mailing address
19 SPARHAWK DR, LONDONDERRY, NH 03053-4016
(413) 858-7231
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1233
NH
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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