NPI | 1427200609 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA L PEARSON-KING Authorized Representative 603-901-3050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist (Licence: NH 1115) | |
235Z00000X Speech-Language Pathologist, (Licence: NH 0327) | |
Enumeration Date | 2008-10-21 |
Last Update Date | 2018-03-22 |