Individual
RENNAE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 CLIPPER DR, WOLFEBORO, NH 03894-4222
(603) 569-3950
Mailing address
PO BOX 577, WOLFEBORO FALLS, NH 03896-0577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0610
NH
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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