Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 0906 | NH |
NPI | 1003058272 |
---|---|
Provider Name | Ms. Cynthia Montbleau |
First Address | Tyngsboro, MA 01879-1120 |
Second Address | Bedford, NH 03110-6510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2009 |
Last Update Date | 02/04/2009 |