Provider Demographics
NPI:1245354265
Name:ALNWICK, HEATHER M (DPT)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:M
Last Name:ALNWICK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WOODBOUND RD
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03581-4803
Mailing Address - Country:US
Mailing Address - Phone:603-466-5466
Mailing Address - Fax:603-752-3036
Practice Address - Street 1:278 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NH
Practice Address - Zip Code:03584-3039
Practice Address - Country:US
Practice Address - Phone:603-788-5020
Practice Address - Fax:603-788-5068
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2704225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist