Provider Demographics
NPI:1154467140
Name:DUCHARME, PAULINE M (PT)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:M
Last Name:DUCHARME
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 1:8 PROSPECT STREET
Mailing Address - Street 2:SNHMC INPATIENT REHAB
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2014
Mailing Address - Country:US
Mailing Address - Phone:603-577-2887
Mailing Address - Fax:603-577-2880
Practice Address - Street 1:8 PROSPECT STREET
Practice Address - Street 2:SNHMC INPATIENT REHAB
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2014
Practice Address - Country:US
Practice Address - Phone:603-577-2887
Practice Address - Fax:603-577-2880
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0137225100000X
MA1521225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist