Individual
MRS. MICHELE ELLEN GEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
33 MORGAN DR, LEBANON, NH 03766-1408
(603) 643-7788
(603) 643-0022
Mailing address
33 MORGAN DR, LEBANON, NH 03766-1408
(603) 643-7788
(603) 643-0022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
NH0848
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007645
—
VT
05
—
30411296
—
NH
Enumeration date
11/16/2006
Last updated
07/09/2007
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