Individual
SHASTA NICOLE O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
17 HAMPTON RD, EXETER, NH 03833-4859
(603) 772-5251
Mailing address
156 HOLLY LN, PORTSMOUTH, NH 03801-4751
(603) 988-6534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1972
NH
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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