| NPI | 1215528260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE BELLEROSE Office Manager 603-381-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |