Provider Demographics
NPI:1093844227
Name:SIMARD, DENISE L (PT)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:L
Last Name:SIMARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RICHARD CT
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:NH
Mailing Address - Zip Code:03077-1834
Mailing Address - Country:US
Mailing Address - Phone:603-895-4529
Mailing Address - Fax:
Practice Address - Street 1:64 FREETOWN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:RAYMOND
Practice Address - State:NH
Practice Address - Zip Code:03077-2356
Practice Address - Country:US
Practice Address - Phone:603-895-6860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH0386225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist