Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 3822 | NH |
N | 2251E1200X | Ergonomics | 3822 | NH |
N | 225XE1200X | Ergonomics | 3822 | NH |
N | 2251N0400X | Physical Therapist - Neurology | 3822 | NH |
N | 2251P0200X | Physical Therapist - Pediatrics | 3822 | NH |
N | 2251S0007X | Physical Therapist - Sports | 3822 | NH |
N | 2251X0800X | Physical Therapist - Orthopedic | 3822 | NH |
NPI | 1376677435 |
---|---|
Provider Name | Ms. Linda Hestianna |
First Address | Merrimack, NH 03054-4825 |
Second Address | Merrimack, NH 03054-4825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 12/03/2014 |