Provider Demographics
NPI:1417745449
Name:LANTAGNE, LINDA T (PT, CEEAA)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:T
Last Name:LANTAGNE
Suffix:
Gender:
Credentials:PT, CEEAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ARCADIAN LN
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03052-1038
Mailing Address - Country:US
Mailing Address - Phone:603-661-5380
Mailing Address - Fax:
Practice Address - Street 1:17 ARCADIAN LN
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:NH
Practice Address - Zip Code:03052-1038
Practice Address - Country:US
Practice Address - Phone:603-661-5380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1227225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist