Individual
GERDA CHASE-THOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17 HAMPTON RD, EXETER, NH 03833-4859
(603) 772-5251
Mailing address
96 FOLLY MILL RD, SEABROOK, NH 03874-4015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0558
NH
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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