Individual
LIANE JEANNE ST. JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
769 S MAIN ST, MANCHESTER, NH 03102-5166
(603) 641-6700
Mailing address
11 GAILOR LN, HOOKSETT, NH 03106-2132
(603) 606-1438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1714
NH
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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