KENNETH VAILLANCOURT

SALEM, NH
NPI1457632978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  11305)
Enumeration Date2011-08-30
Last Update Date2011-08-30
Business Address
KENNETH VAILLANCOURT
2 KEEWAYDIN DR
SALEM, NH 03079-2839
Phone number: 800-995-2673
Mailing Address
KENNETH VAILLANCOURT
2 KEEWAYDIN DR
SALEM, NH 03079-2839
Phone number: 800-995-2673
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