Organization
RAISING THE BAR PEDIATRIC THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUBREY WHITTEMORE (OWNER)
(207) 619-2011
Entity
Organization
Contact information
Practice address
411 SECOND ST, UNIT 2, ROLLINSFORD, NH 03869
(207) 619-2011
Mailing address
PO BOX 264, ROLLINSFORD, NH 03869-0264
(207) 619-2011
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082159
—
NH
Enumeration date
03/14/2014
Last updated
03/14/2014
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