Individual
TRACY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 436-5110
Mailing address
102 PINE ST, PORTSMOUTH, NH 03801-3658
(508) 331-2305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4260
NH
Other
Enumeration date
08/15/2017
Last updated
08/28/2019
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