| Organization Name: | ORTHOPEDIC AND SPORT THERAPY SERVICES, LLC |
| NPI Number: | 1174568646 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY E BRODEUR (OFFICE MANAGER) |
| Mailing Address: | 150 Griffin Rd Ste 3 Portsmouth |
| State: | NH US |
| Postal Code: | 038017131 |
| Phone Number: | 6034332101 |
| Fax Number: | 6034276841 |
| NPI Enumeration Date: | 06/18/2006 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |