Individual
MAYA R MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(800) 465-3203
Mailing address
56 ALTA BLVD UNIT 307, LEBANON, NH 03766-3405
(980) 305-1122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13084
NC
225100000X
Physical Therapist
Primary
CP0078221
NH
Other
Enumeration date
07/26/2011
Last updated
10/12/2021
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