Individual
MRS. LISA MARIE THEROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
124 HALL ST, SUITE H, CONCORD, NH 03301-3478
(603) 224-4540
Mailing address
90 EASTERN AVE, UNIT 302, MANCHESTER, NH 03104-6644
(603) 935-8880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3523
NH
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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