Individual
MRS. JENNIFER FRASER HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
44 MIRROR LAKE DR, MIRROR LAKE, NH 03853-5953
(603) 387-1167
Mailing address
44 MIRROR LAKE DR, MIRROR LAKE, NH 03853-5953
(603) 387-1167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
681
NH
Other
Enumeration date
09/19/2010
Last updated
02/20/2013
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