Individual
MS. SAVANNAH KNISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15 RYE ST, PORTSMOUTH, NH 03801-6829
(603) 610-2200
Mailing address
193 CRESCENT WAY, PORTSMOUTH, NH 03801-3413
(484) 459-4553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4424
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427532233
NPI
—
01
—
14338293
CAQH
—
01
—
4424
PHYSICAL THERAPY STATE LICENSE
NH
Enumeration date
09/18/2018
Last updated
10/03/2018
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