Individual
MRS. KATHLEEN MARY HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
80 PALOMINO LN, STE 401, BEDFORD, NH 03110-6447
(603) 669-7716
(603) 669-0103
Mailing address
80 PALOMINO LN, STE 401, BEDFORD, NH 03110-6447
(603) 669-7716
(603) 669-0103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0443
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30003217
MEDICAID ID
NH
01
—
54200
CIGNA ID
NH
01
—
597569
AETNA ID
NH
01
—
AA17751
HARVARD ID
NH
Enumeration date
08/31/2006
Last updated
03/12/2008
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