Doctor Name: | MATTHEW DAVIE MODELANE |
NPI Number: | 1386089886 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 3786 |
Business Practice Address: | 17 Riverside St Nashua, NH - 030621304 |
Business Phone Number: | 6038890177 |
Business Fax Number: | |
Mailing Address: | 34 One Stack Dr, BOW |
State: | NH |
Postal Code: | 033044707 |
Phone Number: | 6038890177 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 05/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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 |