Individual
MICHELLE LAVERTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2101
Mailing address
65 CALEF HWY, LEE, NH 03861-6703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0729
NH
225XP0200X
Pediatric Occupational Therapist
0729
NH
Other
Enumeration date
09/11/2020
Last updated
04/08/2021
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