Individual
MELISSA BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MARSH BROOK DR STE 101, SOMERSWORTH, NH 03878-6523
(603) 749-6686
(603) 750-3174
Mailing address
200 ROUTE 108 STE 3, SOMERSWORTH, NH 03878-1119
(603) 742-7492
(603) 742-6762
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2244
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2244
NH OT LICENSE
NH
Enumeration date
12/12/2013
Last updated
12/12/2013
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