| NPI | 1700296910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E FONTAINE Pediatric Physical Therapist 603-964-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NH PT #0188) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |