Individual
MIA NICOLE NEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17 RIVERSIDE ST, NASHUA, NH 03062-1304
(603) 889-0177
Mailing address
134 BOKUM RD, OLD SAYBROOK, CT 06475-1247
(860) 304-9738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2995
NH
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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