Individual
MISS SAVANNAH LAVOIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
357 ISLAND POND RD, MANCHESTER, NH 03109-4811
(603) 624-4557
Mailing address
196 SANDOWN RD, CHESTER, NH 03036-4255
(603) 828-5296
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1339
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RYD827557994
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/26/2020
Last updated
08/26/2020
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