Individual
MRS. KIM MARIE REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
290 HANOVER STREET, CLAREMONT, NH 03743
(603) 542-2606
Mailing address
51 CHRISTIAN STREET, BOX 170, HARTFORD, VT 05047-0170
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
81
NH
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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