Individual
LISA G. BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
45 LYME RD STE 210, HANOVER, NH 03755-1222
(603) 277-9784
(443) 926-5980
Mailing address
45 LYME RD STE 210, HANOVER, NH 03755-1222
(603) 277-9784
(443) 926-5980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3725
NH
Other
Enumeration date
03/20/2007
Last updated
10/17/2021
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