Individual
MIKAELA LESLIE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1040 WHITTIER HWY, MOULTONBOROUGH, NH 03254
(603) 273-1570
Mailing address
PO BOX 121, CORNISH, ME 04020-0121
(207) 272-3446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5200
NH
Other
Enumeration date
08/10/2023
Last updated
08/24/2023
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