Individual
MRS. HEATHER J VIVENZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
40 S RIVER RD, UNIT 58, BEDFORD, NH 03110-6719
(603) 626-4205
(603) 668-9943
Mailing address
40 S RIVER RD, UNIT 58, BEDFORD, NH 03110-6719
(603) 626-4205
(603) 668-9943
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2299
NH
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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