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ALICIA ANNE GAVULA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
30 COLBY CT, BEDFORD, NH 03110-6426
(603) 625-6462
Mailing address
PO BOX 85465, LEXINGTON, SC 20973
(401) 258-0485

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
684
NH

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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