Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | 104.0098262 | VT |
NPI | 1295160844 |
---|---|
Provider Name | Tarryn N. Schneider |
First Address | Keene, NH 03431-1719 |
Second Address | Keene, NH 03431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2013 |
Last Update Date | 03/08/2018 |