| NPI | 1114145794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH MARCINKOWSKI Owner/CEO 603-319-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 0714) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NH 0714) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NH 0714) | |
| Enumeration Date | 2007-04-21 |
| Last Update Date | 2015-04-07 |