Individual
MR. KEITH A WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
40 S RIVER RD UNIT 58, BEDFORD, NH 03110-6751
(603) 626-4205
Mailing address
40 S RIVER RD UNIT 58, BEDFORD, NH 03110-6751
(603) 626-4205
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PENDING
NH
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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