Organization
ORTHOPEDIC AND SPORT THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E BRODEUR (OFFICE MANAGER)
(603) 433-2101
Entity
Organization
Contact information
Practice address
150 GRIFFIN RD, STE 3, PORTSMOUTH, NH 03801-7131
(603) 433-2101
(603) 427-6841
Mailing address
150 GRIFFIN RD, STE 3, PORTSMOUTH, NH 03801-7131
(603) 433-2101
(603) 427-6841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174568646
NPI
NH
Enumeration date
06/18/2006
Last updated
04/22/2008
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