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Individual

CHERYL HELEN LORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
117 NORTH ROAD, BRENTWOOD, NH 03833
(603) 679-3114
Mailing address
90 N MAIN ST, NEWTON, NH 03858-3114
(603) 382-2219

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0999
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0999
PHYSICAL THERAPY ASSISTANT
NH
Enumeration date
12/03/2010
Last updated
12/03/2010
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