Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 18610 | MA |
Y | 2251G0304X | Physical Therapist - Geriatrics | 3710 | NH |
NPI | 1255566717 |
---|---|
Provider Name | Shruti Saxena |
First Address | Bedford, NH 03110-2422 |
Second Address | Manchester, NH 03104-4314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2009 |
Last Update Date | 17/03/2018 |