Individual
MS. JUDY H THACKABERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MPT, GCS
Contact information
Practice address
107 NEWPORT ROAD, NEW LONDON, NH 03257
(603) 526-4077
(603) 526-4272
Mailing address
93 RYDER CORNER ROAD, SUNAPEE, NH 03782-2815
(603) 763-4504
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2686
NH
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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