| NPI | 1558796045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CARRICO Owner 603-953-5147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NH 2771) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-18 |