Organization
BLACKBURN CONSULTING, LLC
Active
Other names
Blackburn Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA GAWEN BLACKBURN MPT (OWNER/PHYSICAL THERAPIST)
(603) 277-9784
Entity
Organization
Contact information
Practice address
45 LYME RD, SUITE 206A, HANOVER, NH 03755-1219
(603) 277-9784
(443) 926-5980
Mailing address
45 LYME RD, SUITE 206A, HANOVER, NH 03755-1219
(603) 277-9784
(443) 926-5980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3725
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700901261
INDIVIDUAL NPI
—
Enumeration date
04/12/2013
Last updated
04/12/2013
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