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Individual

MICHAEL G MONAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T., O.C.S.

Contact information

Practice address
70 BUTLER STREET, SALEM, NH 03079
(603) 893-2900
(603) 893-1628
Mailing address
70 BUTLER STREET, SALEM, NH 03079
(603) 893-2900
(603) 893-1628

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11892
MA
225100000X
Physical Therapist
Primary
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11892
STATE LICENSE
MA
Enumeration date
03/08/2007
Last updated
10/20/2015
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