Individual
KELSEY MADEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-5252
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 643-5112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2787
NH
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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