Individual
LISA GAMACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
44 W WEBSTER ST, MANCHESTER, NH 03104-2912
(603) 547-5900
Mailing address
59 WETHERSFIELD RD, NASHUA, NH 03062-3434
(603) 647-5900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0574
NH
225200000X
Physical Therapy Assistant
19393
FL
225200000X
Physical Therapy Assistant
4164
MA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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