Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 1045 | NH |
NPI | 1003156555 |
---|---|
Provider Name | Joann L Filaski |
First Address | Peterborough, NH 03458-2110 |
Second Address | Peterborough, NH 03458-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2013 |
Last Update Date | 20/02/2013 |