Individual
MRS. LEESA A CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
101 BOULDER POINT DR, SUITE 3, PLYMOUTH, NH 03264-3170
(603) 536-5533
(603) 536-5550
Mailing address
101 BOULDER POINT DR, STE 3, PLYMOUTH, NH 03264-3170
(603) 536-5533
(603) 536-5550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11560
MA
225100000X
Physical Therapist
Primary
3191
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326461
—
MA
05
—
30396921
—
NH
Enumeration date
05/23/2007
Last updated
02/20/2019
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