Doctor Name: | BRENT B MESERVE |
NPI Number: | 1477834018 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 3152 |
Business Practice Address: | 790 Lake St Bristol, NH - 032224548 |
Business Phone Number: | 6037440275 |
Business Fax Number: | 6037449378 |
Mailing Address: | Po Box 585, PLYMOUTH |
State: | NH |
Postal Code: | 032640585 |
Phone Number: | 6035364991 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2011 |
NPI Last Update Date: | 02/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3152 |
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 |