Individual
MELINDA J BERROUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA,COTA/L
Contact information
Practice address
91 MAPLE AVE, KEENE, NH 03431-1629
(603) 358-3384
(603) 358-6485
Mailing address
91 MAPLE AVE, KEENE, NH 03431-1629
(603) 358-3384
(603) 358-6485
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0457
NH
225200000X
Physical Therapy Assistant
0737
NH
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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