Individual
MR. MICHAEL THOMAS PETRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
51 W TERRACE ST, CLAREMONT, NH 03743-2269
(603) 558-0121
Mailing address
51 W TERRACE ST, CLAREMONT, NH 03743-2269
(603) 558-0121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0452
NH
225700000X
Massage Therapist
Primary
3472M
NH
Other
Enumeration date
05/21/2007
Last updated
05/02/2013
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