Individual
BEATRICE SLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
Mailing address
12 MAIN ST, HOOKSETT, NH 03106-1312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0265
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0807534Y0NH01
ANTHEM NH
NH
01
—
370330
MVP
NH
Enumeration date
01/24/2007
Last updated
07/08/2007
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