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Individual

GARY L MERCER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
95 BREWERY LN, PORTSMOUTH, NH 03801-4994
(603) 430-3004
(603) 430-0045
Mailing address
95 BREWERY LN, PORTSMOUTH, NH 03801-4994
(603) 430-3004
(603) 430-0045

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1699
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30393236
NH
Enumeration date
10/03/2005
Last updated
07/09/2007
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