Individual
NICHOLAS HAIDEMENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7 BALDWIN ST, FRANKLIN, NH 03235-2000
(603) 934-2541
Mailing address
54 FRANKLIN ST, APT. B, FRANKLIN, NH 03235-1614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0656
NH
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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