Individual
MRS. MARIA LYNN THERRIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
40 EXCHANGE ST, GORHAM, NH 03581-1604
(603) 466-5972
Mailing address
40 EXCHANGE ST, GORHAM, NH 03581-1604
(603) 466-5972
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1004
NH
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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