Individual
ELIZABETH BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22 TUCK RD, HAMPTON, NH 03842-1225
(603) 926-4551
Mailing address
539 KEARSARGE WAY, PORTSMOUTH, NH 03801-3450
(603) 926-4551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1028
NH
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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