Individual
MELANIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
106 HANCOCK RD, PETERBOROUGH, NH 03458-1109
(603) 924-3336
Mailing address
140 MASON RD, NEW IPSWICH, NH 03071-3515
(603) 878-3746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2152
NH
Other
Enumeration date
06/07/2020
Last updated
06/07/2020
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