Individual
AMY MADEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 W HOLLIS ST STE 104, NASHUA, NH 03062-1386
(603) 886-2710
Mailing address
75 DUBLIN AVE, NASHUA, NH 03063-2047
(603) 234-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2791
LICENSE #
NH
Enumeration date
09/27/2006
Last updated
07/08/2007
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