Individual
SHANNON MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
105 CORPORATE DR, PORTSMOUTH, NH 03801-6825
(603) 501-5556
Mailing address
105 CORPORATE DR, PORTSMOUTH, NH 03801-6825
(603) 501-5556
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2013
NH
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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