| NPI | 1255415881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MASSA Practice Manager 603-890-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251H1300X Physical Therapist Human Factors | |
| 2251E1200X Physical Therapist Ergonomics | |
| 2251N0400X Physical Therapist Neurology | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-03-19 |