KEVIN WILSON SMALL

LACONIA, NH
NPI1891161139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NH  1210)
Enumeration Date2015-08-20
Last Update Date2015-08-20
Business Address
-- KEVIN WILSON SMALL PTA
175 BLUEBERRY LN
LACONIA, NH 03246-2918
Phone number: 603-524-3340
Mailing Address
-- KEVIN WILSON SMALL PTA
22 RIDGEMONT DR
LONDONDERRY, NH 03053-3103
Phone number: 603-851-1163