| NPI | 1487670386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN C OSTERGARD Credentialing Specialist 603-506-6833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-09-16 |