Individual
SAMANTHA DEGRUTTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
235 MYRTLE ST, MANCHESTER, NH 03104-4314
(603) 627-3811
Mailing address
31 PRESCOTT ST, NASHUA, NH 03064-2543
(197) 837-6495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3096
NH
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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