Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 1067 | NH |
NPI | 1366835613 |
---|---|
Provider Name | Karen Pauline Hendrickson |
First Address | Nashua, NH 03060-3312 |
Second Address | Nashua, NH 03060-3312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2015 |
Last Update Date | 11/03/2015 |