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Individual

MICHELLE DECOSMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21 EASTGATE RD, DERRY, NH 03038-3816
(603) 434-2430
Mailing address
18 S MAIN ST, DERRY, NH 03038-2197
(603) 432-1210

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0940
NH

Other

Enumeration date
06/01/2020
Last updated
06/01/2020
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