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Individual

JOHN THOMAS MCGUIRE VANDERMINDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4 HAWTHORNE DR, BEDFORD, NH 03110-6983
(603) 472-8888
(603) 472-9090
Mailing address
4 HAWTHORNE DR, BEDFORD, NH 03110-6983
(603) 472-8888
(603) 472-9090

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4817
NH
2251X0800X
Orthopedic Physical Therapist
4817
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4817
NH LICENSE
NH
Enumeration date
05/19/2021
Last updated
05/19/2021
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