Individual
SHELIA KATHLEEN CARDAMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
33 WINTERCROFT CIRCLE, GRANTHAM, NH 03753
(603) 863-1908
Mailing address
33 WINTERCROFT CIRCLE, P.O.BOX 24, GRANTHAM, NH 03753
(603) 863-1908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0396
NH
225100000X
Physical Therapist
0400002637
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0396
PT LICENSE #
NH
01
—
0400002637
PT LICENSE #
VT
01
—
08Y007129NH01
ANTHEM BILLING #
—
05
—
30392912
—
NH
01
—
68028
VT. BLUE CROSS #
VT
Enumeration date
05/21/2007
Last updated
07/09/2007
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