Organization Name: | DERRY SPORTS AND REHAB, LLC |
NPI Number: | 1487670386 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET H. FICEK (OFFICE MANAGER) |
Mailing Address: | 6 Tsienneto Rd Suite 201 Derry |
State: | NH US |
Postal Code: | 030381584 |
Phone Number: | 6034373338 |
Fax Number: | 6034373255 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |