Individual
ADAM NICKULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 BRIDGE ST, MANCHESTER, NH 03104-5396
(603) 668-3474
Mailing address
369 WINDSOR RD, HILLSBORO, NH 03244-4647
(603) 391-6601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1137
NH
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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