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Individual

CHRISTINA M. CASAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
80 PALOMINO LN, STE 401, BEDFORD, NH 03110-6447
(603) 669-7716
(603) 669-0103
Mailing address
80 PALOMINO LN, STE 401, BEDFORD, NH 03110-6447
(603) 669-7716
(603) 669-0103

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1443
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020434629
TAX ID
NH
01
13YOO3474NH01
ANTHEM ID
NH
05
30412010
NH
01
54201
CIGNA ID
NH
01
597569
AETNA ID
NH
01
AA17751
HARVARD ID
NH
Enumeration date
08/31/2006
Last updated
01/16/2023
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