Individual
KELLY O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
364 CATES HILL RD, BERLIN, NH 03570-1554
(603) 752-2343
Mailing address
15 MAROIS AVE, GORHAM, NH 03581-1108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1242
NH
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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