Provider Demographics
NPI:1598113938
Name:MORGAN, VANESSA LYNNE (DPT)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:LYNNE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:VANESSA
Other - Middle Name:LYNNE
Other - Last Name:LAZAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:29 NORTHWEST BLVD
Mailing Address - Street 2:NORTHEAST REHABILITATION
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-4068
Mailing Address - Country:US
Mailing Address - Phone:603-689-2400
Mailing Address - Fax:
Practice Address - Street 1:29 NORTHWEST BLVD
Practice Address - Street 2:NORTHEAST REHABILITATION
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-4068
Practice Address - Country:US
Practice Address - Phone:603-689-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3816225100000X
MA20663225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist