Provider Demographics
NPI:1063600740
Name:CRISMAN, MARGARET B (PT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:B
Last Name:CRISMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BEAVER BROOK DR
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-4801
Mailing Address - Country:US
Mailing Address - Phone:603-568-5272
Mailing Address - Fax:
Practice Address - Street 1:7 BEAVER BROOK DR
Practice Address - Street 2:
Practice Address - City:BOW
Practice Address - State:NH
Practice Address - Zip Code:03304-4801
Practice Address - Country:US
Practice Address - Phone:603-568-5272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0712225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist