Doctor Name: | MS. JENNIFER PORTER GUADAGNO |
NPI Number: | 1346562030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 3234 |
Business Practice Address: | 20 Maitland St Concord, NH - 033013534 |
Business Phone Number: | 6034103211 |
Business Fax Number: | |
Mailing Address: | 28 Jackson St, CONCORD |
State: | NH |
Postal Code: | 033014472 |
Phone Number: | 6037389907 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2010 |
NPI Last Update Date: | 02/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |