Individual
MITCHELL DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
70 BUTLER ST, SALEM, NH 03079-3925
(603) 893-2900
Mailing address
8 7TH AVE, MANCHESTER, NH 03104-1553
(603) 361-2727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2705
NH
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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