| Organization Name: | ACTION SPORTS & PHYSICAL THERAPY, LLC |
| NPI Number: | 1134310949 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNNE L EVANS (BUSINESS MGR./OWNER) |
| Mailing Address: | 16 Lehner St Wolfeboro |
| State: | NH US |
| Postal Code: | 038944469 |
| Phone Number: | 6035697972 |
| Fax Number: | 6035697973 |
| NPI Enumeration Date: | 08/06/2007 |
| NPI Last Update Date: | 06/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 1618 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |