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Contact Information

JUDY H THACKABERRY, PT, MPT, GCS
107 NEWPORT ROAD
NEW LONDON, NH03257
 Phone: 603-526-4077
 Fax: 603-526-4272
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JUDY H THACKABERRY · (Female)

NPI # 1821200304
Status Active
Credentials PT, MPT, GCS
Entity Individual
Enumeration date 05/04/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 2686
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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