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NPI Code Detail

MEDICARE: MS. CYNTHIA MICHAUD ATC

MEDICARE:  MS. CYNTHIA  MICHAUD  ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer0129NH

General Provider Information

NPI Number : 1215998497
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA MICHAUD ATC
Provider Business Mailing Address
First Line : 9 1/2 MILK ST
Second Line : #4
City : DOVER
State : NH
Zip : 03820-3034
Country : US
Telephone Number : 603-750-7324
Fax Number :
Provider Business Practice Location Address
First Line : 145 MAIN ST
Second Line : FIELD HOUSE
City : DURHAM
State : NH
Zip : 03824-3572
Country : US
Telephone Number : 603-862-4987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 07/08/2007

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Directions to “ MS. CYNTHIA MICHAUD ATC” Practice Location

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