Gail Jeanne Licciardello, OT

NPI #1184936197 in Hampton, New Hampshire

Provider Information

NPI Number: 1184936197
Entity Type: Individual
Name: Gail Jeanne Licciardello, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jul 7, 2010
Last Updated: Jul 7, 2010

Practice Location

Address: 777 LAFAYETTE RD
City: Hampton
State: New Hampshire
ZIP Code: 03842-1228
Phone: (603) 929-3032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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