Individual
ROGER PRIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
175 BLUEBERRY LN, LACONIA, NH 03246-2918
(603) 524-3340
Mailing address
70 CHESTNUT ST, BRISTOL, NH 03222-3072
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0606
NH
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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