Individual
MRS. SUSAN MARIE BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, RN
Contact information
Practice address
5 NURSING HOME DR, CLAREMONT, NH 03743-7344
(603) 542-9511
Mailing address
274 WASHINGTON RD, GOSHEN, NH 03752-3511
(603) 863-5659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0591
NH
Other
Enumeration date
08/09/2009
Last updated
10/09/2009
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