Individual
ELIZABETH BLAKE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
28 COMMERCIAL ST STE 4, CONCORD, NH 03301
(603) 225-5132
Mailing address
28 COMMERCIAL ST STE 4, CONCORD, NH 03301-5083
(603) 225-5132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040.0070090
VT
225100000X
Physical Therapist
18989
MA
225100000X
Physical Therapist
Primary
3568
NH
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/11/2010
Last updated
03/16/2023
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