Individual
SHANNON BERUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 TOKANEL DR, LONDONDERRY, NH 03053-3510
(603) 759-9002
Mailing address
13 TOKANEL DR, LONDONDERRY, NH 03053-3510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1773
NH
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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