Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 0655 | NH |
N | 2251G0304X | Physical Therapist - Geriatrics | 0655 | NH |
NPI | 1356522437 |
---|---|
Provider Name | Ms. Nancy Cuerdon |
First Address | Bedford, NH 03110-5335 |
Second Address | Bedford, NH 03110-5335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2007 |
Last Update Date | 17/11/2007 |