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NPI Code Detail

MEDICARE: MRS. NADINE LYNN GILCRIS PTA

MEDICARE: MRS. NADINE LYNN GILCRIS PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant1006NH

General Provider Information

NPI Number : 1992011746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NADINE LYNN GILCRIS PTA
Provider Business Mailing Address
First Line : 96 WOODS CIR
Second Line :
City : NORTH STRATFORD
State : NH
Zip : 03590-4136
Country : US
Telephone Number : 603-723-8702
Fax Number :
Provider Business Practice Location Address
First Line : 173 MIDDLE ST
Second Line :
City : LANCASTER
State : NH
Zip : 03584-3508
Country : US
Telephone Number : 603-788-5009
Fax Number : 603-788-5069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2010
Last Update Date : 06/02/2026

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