Organization
DERRY SPORTS & REHAB LLC
Active
Other names
Salem Sports & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS VAILAS (OWNER)
(603) 232-4513
Entity
Organization
Contact information
Practice address
159 N BROADWAY, SALEM, NH 03079
(603) 898-9947
(603) 898-9949
Mailing address
55 BRIDGE ST, MANCHESTER, NH 03101-1603
(603) 232-4513
(603) 782-5123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487670386
NPI
NH
Enumeration date
06/13/2007
Last updated
07/17/2025
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