Individual
JILL THERESA DANEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
40 WHITEHALL RD, ROCHESTER, NH 03867-3225
(603) 332-7711
Mailing address
40 WHITEHALL RD, ROCHESTER, NH 03867-3225
(603) 332-7711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0420
NH
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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