# SCACCIA PHYSICAL THERAPY & SPORTS CONDITIONING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174796056
- **Authorized official:** MR. ROBERT M SCACCIA PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (603) 890-8541

## Contact information

- **Practice address:** 32 INDIAN ROCK ROAD, UNIT 5, WINDHAM, NH 03087
- **Practice address phone:** (603) 890-8541
- **Practice address fax:** (603) 890-8736
- **Mailing address:** 32 INDIAN ROCK ROAD, UNIT 5, WINDHAM, NH 03087
- **Mailing address phone:** (603) 890-8541
- **Mailing address fax:** (603) 890-8736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NH | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 11/11/2023