| NPI | 1568433092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GLENN BURCHUK Owner/Physical Therapist 603-431-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1271) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2019-05-22 |