Individual
MRS. TINA MARIE DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
55 HARRIS ROAD, NASUA, NH 03060
(603) 888-1573
Mailing address
79 GROVE AVE, MANCHESTER, NH 03109-5044
(603) 669-8561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0795
NH
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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