| NPI | 1346916053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLOW HENRY Owner 603-264-0426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2023-11-29 |