Individual
KATIE L SERODIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
920 LAFAYETTE RD, SECOND FLOOR, SEABROOK, NH 03874-4216
(603) 474-2259
Mailing address
73 NEWTON RD, STE 101, PLAISTOW, NH 03865-2424
(978) 388-7272
(978) 388-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2962
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084007528NH03
ANTHEM INDIV #
NH
01
—
495008
TUFTS HEALTH PLAN INDIV #
—
Enumeration date
07/19/2006
Last updated
06/25/2015
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