Individual
ELIZABETH FAVREAU WUEBBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
40 S. RIVER ROAD, UNI, MERRIMACK VALLEY PHYSICAL THERAPY, BEDFORD, NH 03110
(603) 626-4205
(603) 666-6617
Mailing address
58 BEAVER POND RD, WEARE, NH 03281-5800
(603) 529-3032
(603) 666-6617
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0879
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30392154
—
NH
Enumeration date
08/11/2006
Last updated
07/08/2007
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