Doctor Name: | MR. GREGORY M LAVALLEE |
NPI Number: | 1528065240 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 2261 |
Business Practice Address: | 700 Lake Ave Manchester, NH - 031032734 |
Business Phone Number: | 6036251864 |
Business Fax Number: | 6036687181 |
Mailing Address: | 700 Lake Ave, MANCHESTER |
State: | NH |
Postal Code: | 031032734 |
Phone Number: | 6036251864 |
Fax Number: | 6036687181 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2261 |
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 |