NPI | 1194794818 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN ASSAD Clinical Director 603-672-4478 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
2251G0304X Physical Therapist, Geriatrics | |
Enumeration Date | 2006-03-15 |
Last Update Date | 2020-08-22 |