Individual
CARRIE JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
53B GREEN ST, PORTSMOUTH, NH 03801-3735
(603) 380-7902
Mailing address
53B GREEN ST, PORTSMOUTH, NH 03801-3735
(603) 380-7902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16152
PT LICENSE
MA
01
—
3895
PT LICENSE
NH
Enumeration date
05/02/2007
Last updated
10/17/2018
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