Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 3488 | NH |
NPI | 1003143959 |
---|---|
Provider Name | Julia S Henry |
First Address | Somersworth, NH 03878-1119 |
Second Address | Somersworth, NH 03878-6523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2009 |
Last Update Date | 13/11/2009 |