Individual
KRISTINE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
33 OLD MANCHESTER RD, RAYMOND, NH 03077-2388
(603) 895-3117
Mailing address
806 N MAIN ST, LACONIA, NH 03246-2603
(603) 524-1497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4632
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4632
PHYSICAL THERAPY LICENSE
NH
Enumeration date
03/01/2021
Last updated
03/01/2021
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