Individual
LISA STEVENS HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
91 MAPLE AVE, KEENE, NH 03431-1629
(603) 358-3384
(603) 358-6485
Mailing address
91 MAPLE AVE, KEENE, NH 03431-1629
(603) 358-3384
(603) 358-6485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2906
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30392881
—
NH
Enumeration date
11/02/2006
Last updated
02/22/2014
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