Individual
HEATHER GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
44 BIRCH ST STE 300, DERRY, NH 03038-2752
(603) 421-2250
Mailing address
44 BIRCH ST STE 300, DERRY, NH 03038-2752
(603) 421-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3085
NH
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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