Doctor Name: | DR. ANDREA MULDER |
NPI Number: | 1558775841 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, OCS |
License Number: | 2136 |
Business Practice Address: | 118 Portsmouth Ave Ste A1a Stratham, NH - 038854415 |
Business Phone Number: | 6035804494 |
Business Fax Number: | 6035804495 |
Mailing Address: | 118 Portsmouth Ave Ste A1a, STRATHAM |
State: | NH |
Postal Code: | 038854415 |
Phone Number: | 6035804494 |
Fax Number: | 6035804495 |
NPI Enumeration Date: | 06/16/2014 |
NPI Last Update Date: | 06/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 2136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |