Individual
MELINDA L MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
73 CORPORATE DR STE 100, PORTSMOUTH, NH 03801-2847
(603) 868-2600
Mailing address
21 IRELAND DR, BERWICK, ME 03901-2108
(603) 781-8748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2561
NH
Other
Enumeration date
08/08/2010
Last updated
04/23/2021
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