| NPI | 1083829030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARK GREENWOOD Owner 603-401-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NH 2622) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 11594) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2020-08-22 |