Individual
MRS. THERESA NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
195 DOVER POINT RD, DOVER, NH 03820-9147
(603) 742-2612
Mailing address
143 BIRCH HILL RD, NEW DURHAM, NH 03855-2305
(603) 859-0029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0553
NH
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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