Individual
JENNIFER HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 HAMPTON RD, SUITE 200, EXETER, NH 03833-4855
(603) 775-7575
(603) 778-9680
Mailing address
1 HAMPTON RD, SUITE 200, EXETER, NH 03833-4855
(603) 775-7575
(603) 778-9680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2594
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH4111
MEDICARE GP #
—
01
—
P01478735
MEDICARE RR
—
Enumeration date
12/22/2006
Last updated
02/17/2016
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