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Individual

MELINDA JOY ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1 BAYSIDE RD # 2, GREENLAND, NH 03840-2117
(603) 373-0014
(603) 433-6787
Mailing address
94 AMHERST ST, AMHERST, NH 03031
(603) 886-0579
(603) 886-0163

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020377315
COMM TAX ID
NH
01
272746
CIGNA
NH
01
561822
AETNA
NH
01
626514
HARVARD PILGRIM
NH
01
761242
TUFTS
NH
Enumeration date
10/20/2006
Last updated
09/18/2014
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