Individual
BARBARA B DEMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
70 ISLAND ST, KEENE, NH 03431-3528
(603) 358-9880
Mailing address
30 MOORE FARM RD, KEENE, NH 03431-2077
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
0400000840
VT
2251P0200X
Pediatric Physical Therapist
Primary
1109
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30390108
—
NH
Enumeration date
11/01/2006
Last updated
07/09/2007
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