| NPI | 1356996797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C GOODE CEO 603-490-9725 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |