Healthcare Provider Details

I. General information

NPI: 1578611190
Provider Name (Legal Business Name): MARGUERITE WARNER MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 PLEASANT ST SUITE 200
CONCORD NH
03301-2548
US

IV. Provider business mailing address

26 HIGHLAND DR
HENNIKER NH
03242-3178
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-4540
  • Fax: 603-228-7384
Mailing address:
  • Phone: 603-428-3844
  • Fax: 603-428-8507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number1287
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: