Individual
LUSANN M WISHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
59 SHEFFIELD RD, MANCHESTER, NH 03103-2314
(603) 622-0909
(603) 622-2869
Mailing address
59 SHEFFIELD RD, MANCHESTER, NH 03103-2314
(603) 622-0909
(603) 622-2869
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1179
NH
Other
Enumeration date
07/16/2007
Last updated
07/19/2007
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