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Organization
COPPOLA PHYSICAL THERAPY AND FITNESS GYM LLC
Active
Organization
COPPOLA PHYSICAL THERAPY AND FITNESS GYM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LAWRENCE GORDON (CO-OWNER, PTA)
(603) 315-9552
Entity
Organization
Contact information
Practice address
143 RAYMOND RD UNIT 8, CANDIA, NH 03034-2133
(603) 483-3355
Mailing address
143 RAYMOND RD UNIT 8, CANDIA, NH 03034-2133
(603) 483-3355
(603) 483-3357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
0740
NH
261QP2000X
Physical Therapy Clinic/Center
Primary
2164
NH
Other
Enumeration date
03/18/2009
Last updated
06/02/2014
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