Individual
AFTHALIA KOUSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
207 MEETINGHOUSE RD, BEDFORD, NH 03110-6090
(603) 644-8334
(603) 644-8339
Mailing address
207 MEETINGHOUSE RD, BEDFORD, NH 03110-6090
(603) 644-8334
(603) 644-8339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2827
NH
225100000X
Physical Therapist
Primary
PT2827
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y004684NH02
BLUE CROSS BLUE SHIELD
NH
05
—
30394080
—
NH
01
—
9683166
CIGNA HEALTHCARE
NH
01
—
AA51080
HARVARD PILGRIM
NH
Enumeration date
10/05/2006
Last updated
04/26/2018
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