Individual
HENRY CHARLES MEMMESHEIMER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
188 JONES AVE, PORTSMOUTH, NH 03801-5516
(603) 431-2530
Mailing address
20 ALLENS AVE, LEE, NH 03861-6531
(603) 502-5138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
636
NH
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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