Individual
JENNIFER MICHELE MENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 TOWN WEST RD, PLYMOUTH, NH 03264-3428
(603) 536-2941
Mailing address
PO BOX 715, NEW HAMPTON, NH 03256-0715
(603) 677-3985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3187
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30394880
—
NH
Enumeration date
12/21/2006
Last updated
01/17/2008
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