Provider Demographics
NPI:1215254222
Name:DOYON, MITCHELLE MARIE (DPT, ATC)
Entity type:Individual
Prefix:
First Name:MITCHELLE
Middle Name:MARIE
Last Name:DOYON
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 GILFORD AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-7500
Mailing Address - Country:US
Mailing Address - Phone:603-528-4152
Mailing Address - Fax:603-528-1591
Practice Address - Street 1:401 GILFORD AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-7500
Practice Address - Country:US
Practice Address - Phone:603-528-4152
Practice Address - Fax:603-528-1591
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3530225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist