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Individual

MRS. MARIE CARBONNEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
370 DANIEL WEBSTER HWY, MERRIMACK, NH 03054-4152
(603) 424-1950
Mailing address
370 DANIEL WEBSTER HWY, MERRIMACK, NH 03054-4152
(603) 424-1950

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0501
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0501
LICENSE
NH
Enumeration date
12/06/2007
Last updated
12/06/2007
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