Healthcare Provider Details

I. General information

NPI: 1992011746
Provider Name (Legal Business Name): NADINE LYNN GILCRIS PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. NADINE LYNN KENNETT

II. Dates (important events)

Enumeration Date: 08/30/2010
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 MIDDLE ST
LANCASTER NH
03584-3508
US

IV. Provider business mailing address

96 WOODS CIR
NORTH STRATFORD NH
03590-4136
US

V. Phone/Fax

Practice location:
  • Phone: 603-788-5009
  • Fax: 603-788-5069
Mailing address:
  • Phone: 603-723-8702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number1006
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: