| NPI | 1134497688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE WALKER VP Of Finance 603-444-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2022-07-21 |