Individual
IRENE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
Mailing address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0574
NH
225100000X
Physical Therapist
4099
MA
225100000X
Physical Therapist
42247
CA
225100000X
Physical Therapist
Primary
PT5210
NM
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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