Provider Demographics
NPI:1649466442
Name:MANCHESTER, NANCY ANN (PT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:MANCHESTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:ANN
Other - Last Name:DROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 CANTERBURY RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-2240
Mailing Address - Country:US
Mailing Address - Phone:603-890-3430
Mailing Address - Fax:
Practice Address - Street 1:12 CANTERBURY RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-2240
Practice Address - Country:US
Practice Address - Phone:603-890-3430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-15
Last Update Date:2007-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2999225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist