Individual
MARY GRACE MANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223B BLACK BROOK RD STE 2, GOFFSTOWN, NH 03045-2901
(603) 703-2569
(603) 894-1113
Mailing address
223B BLACK BROOK RD STE 2, GOFFSTOWN, NH 03045-2901
(603) 703-2569
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0914
NH
Other
Enumeration date
03/07/2011
Last updated
11/22/2024
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