| NPI | 1558347559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J OWOC Manager Therapist 603-472-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 0789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT005694L) |
| 225100000X Physical Therapist (Licence: MA 5763) | |
| 225100000X Physical Therapist (Licence: NH 2232) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2013-09-09 |