Individual
MS. SHELLY WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 HACKETT HILL RD, MANCHESTER, NH 03102-8993
(603) 668-8161
Mailing address
191 HACKETT HILL RD, MANCHESTER, NH 03102
(603) 668-8161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0724
NH
224Z00000X
Occupational Therapy Assistant
073.0116004
VT
224Z00000X
Occupational Therapy Assistant
4016
MA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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