Individual
STACEY MARIE KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 COMMONS DR # F, SUITE 38, LONDONDERRY, NH 03053-3441
(603) 437-3330
(603) 437-0431
Mailing address
165 TAYLOR ST, MANCHESTER, NH 03103-3769
(802) 309-0599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16717
MA
2251P0200X
Pediatric Physical Therapist
Primary
3297
NH
Other
Enumeration date
04/16/2007
Last updated
05/16/2008
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