Granite State Physical Therapy Concord PLLC
Physical Therapist in Concord, NH. Organization (NPI-2).
NPI number1679632012
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1679632012
- Entity type
- Organization (NPI-2)
- Legal business name
- Granite State Physical Therapy Concord PLLC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1225 | NH | Yes |
Practice location
8 Loudon RdConcord, NH 03301-5300
Phone 603-410-6309 · Fax 603-410-6310
Mailing address
8 Loudon RdConcord, NH 03301-5300
Phone 603-410-6309 · Fax 603-410-6310
Authorized official
Scott A Underwood
Physical Therapist
6034106309
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