Individual
MS. MIKAELA ROSE HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 ALUMNI DR, HAMPTON, NH 03842-2282
(978) 821-8003
Mailing address
24 CABOT ST, PORTSMOUTH, NH 03801-4315
(978) 821-8003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0602
NH
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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