Individual
DENISE TENNYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 BLUEBERRY LN, LACONIA, NH 03246-2918
(603) 528-7000
Mailing address
57 UNION AVE APT 206, LACONIA, NH 03246-3513
(603) 848-0770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1181
NH
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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