Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
Y | 225100000X | Physical Therapist | 4191 | NH |
N | 225100000X | Physical Therapist | PT010332 | GA |
N | 2251S0007X | Physical Therapist - Sports | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1427221332 |
---|---|
Provider Name | Julie Christine Messenger |
First Address | Lebanon, NH 03766-1454 |
Second Address | Lebanon, NH 03766-1454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 06/03/2017 |