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Individual

MRS. WENDY MAUREEN BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
239 PLEASANT ST, CONCORD, NH 03301-7504
(603) 410-3419
Mailing address
204 PORTSMOUTH ST, CONCORD, NH 03301-5863
(603) 228-8059

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
406
NH

Other

Enumeration date
06/28/2007
Last updated
07/08/2007
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