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1336764695
SHANNON MIKELL
PORTSMOUTH, NH
NPI
1336764695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: NH 2013)
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
SHANNON MIKELL MSOTR/L
105 CORPORATE DR
PORTSMOUTH, NH 03801-6825
Phone number: 603-501-5556
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Mailing Address
SHANNON MIKELL MSOTR/L
105 CORPORATE DR
PORTSMOUTH, NH 03801-6825
Phone number: 603-501-5556
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