Individual
ANDREW MONGIAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 448-2234
Mailing address
23 WOODLAND DR, WATERBORO, ME 04087-3044
(207) 289-9896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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