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Individual

CARRIE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
141 LEDGE STREET, NASHUA, NH 03060
(603) 966-1071
Mailing address
141 LEDGE STREET, NASHUA, NH 03060
(603) 966-1071

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1597
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020377315
COMM TAX ID
NH
01
13Y010015NH01
BCBS
NH
01
272746
CIGNA
NH
01
561822
AETNA
NH
01
626514
HARVARD PILGRIM
NH
01
761242
TUFTS
NH
05
99560056
NH
Enumeration date
11/09/2006
Last updated
10/31/2024
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