Individual
MS. WHITNEY RYAN BASHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
95 MASCOMA ST, APT A, LEBANON, NH 03766-2647
(603) 313-9421
Mailing address
95 MASCOMA ST, APT A, LEBANON, NH 03766-2647
(603) 313-9421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0918
NH
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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