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Individual

ELISABETH CORLISS ROSENCRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD NHLAT ATC CSCS

Contact information

Practice address
MSC 22, 17 HIGH STREET, PLYMOUTH, NH 03264-1595
(603) 535-2577
Mailing address
17 HIGH STREET, MSC 22, PLYMOUTH, NH 03264-7845
(603) 535-2577

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1335
NH

Other

Enumeration date
08/29/2006
Last updated
06/27/2019
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