Individual
MS. MICHELLE A BRAGDON-PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
6 SARAH WAY, NEWTON, NH 03858-3426
(603) 378-0140
(603) 974-0779
Mailing address
6 SARAH WAY, NEWTON, NH 03858-3426
(603) 378-0140
(603) 974-0779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1699
NH
225X00000X
Occupational Therapist
8702
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325929
—
MA
05
—
30413322
—
NH
Enumeration date
05/14/2007
Last updated
05/11/2010
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