Individual
MARIE BOISVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 448-2234
Mailing address
159 MAIN ST, NORTHFIELD, MA 01360-1013
(802) 289-4884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1511
NH
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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