Organization
MOBILE PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAYLA WHITE (OWNER)
(603) 327-1144
Entity
Organization
Contact information
Practice address
6 MAGNOLIA AVE, SALEM, NH 03079-3249
(603) 327-1144
Mailing address
6 MAGNOLIA AVE, SALEM, NH 03079-3249
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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