Individual
BRENT B MESERVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
790 LAKE ST, BRISTOL, NH 03222-4548
(603) 744-0275
(603) 744-9378
Mailing address
PO BOX 585, PLYMOUTH, NH 03264-0585
(603) 536-4991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3152
NH
Other
Enumeration date
09/08/2011
Last updated
02/07/2012
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