Basic Information
| Provider Information | |||||||||
| NPI: | 1457590176 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DASKEY | ||||||||
| FirstName: | SANDRA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 85 ROCKINGHAM RD | ||||||||
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| City: | LONDONDERRY | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030532211 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 21 SEARLES RD | ||||||||
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| City: | WINDHAM | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030871203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6038901290 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2009 | ||||||||
| LastUpdateDate: | 02/19/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 540 | NH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.