Individual
MATTHEW COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(866) 420-1055
Mailing address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(866) 420-1055
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
998785
OR
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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