Provider Demographics
NPI:1124207188
Name:NARDOZZA, SHEILA MURPHY (PT)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MURPHY
Last Name:NARDOZZA
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 1:61 TOWN FARM RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03036-4225
Mailing Address - Country:US
Mailing Address - Phone:603-887-6110
Mailing Address - Fax:
Practice Address - Street 1:700 LAKE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2734
Practice Address - Country:US
Practice Address - Phone:603-668-7005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1842225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist