Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT02729 | RI |
NPI | 1003215559 |
---|---|
Provider Name | Lauren Rashford |
First Address | Salem, NH 03079-2839 |
Second Address | Salem, NH 03079-2839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2014 |
Last Update Date | 21/08/2014 |