Individual
NICHOLAS MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
780 N MAIN ST, LACONIA, NH 03246-2756
(603) 224-4093
Mailing address
95 BROOK HL, MEREDITH, NH 03253-7129
(401) 447-2168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4203
NH
Other
Enumeration date
08/27/2014
Last updated
01/02/2025
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