| NPI | 1457543050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LYNN HICKS Owner 603-586-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2023-11-07 |