Individual
VIVIANNE ELIZABETH MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CES
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(844) 570-5714
Mailing address
260 JONES HILL RD, ENFIELD, NH 03748-3311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2036
NH
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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