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MATTHEW JOSHUA MAILHOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
522 AMHERST ST STE 22, NASHUA, NH 03063-1030
(603) 880-0448
Mailing address
522 AMHERST ST STE 22, NASHUA, NH 03063-1030
(603) 880-0448

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4399
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4399
ALLIED HEALTH STATE LICENSE
NH
Enumeration date
08/15/2018
Last updated
08/15/2018
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