Organization
SWING FOR THE STARS PEDIATRIC THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODELLE L HEATH MS OTR/L (EXECUTIVE DIRECTOR)
(603) 228-7827
Entity
Organization
Contact information
Practice address
2 PILLSBURY ST STE 404, CONCORD, NH 03301-3523
(603) 228-7827
(603) 228-7828
Mailing address
2 PILLSBURY ST STE 404, CONCORD, NH 03301-3523
(603) 228-7827
(603) 228-7828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3719
NH
2251P0200X
Pediatric Physical Therapist
3719
NH
225X00000X
Occupational Therapist
Primary
1712
NH
225XP0200X
Pediatric Occupational Therapist
1712
NH
235Z00000X
Speech-Language Pathologist
1126
NH
Other
Enumeration date
09/21/2007
Last updated
06/16/2014
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