Individual
DIANE MEALANI FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 LAWRENCE STREET, ANDOVER, NH 03216-3522
(603) 735-5114
(603) 735-6141
Mailing address
PO BOX 146, ANDOVER, NH 03216-0146
(603) 735-5114
(603) 735-6141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2130
NH
Other
Enumeration date
09/26/2006
Last updated
04/21/2011
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