Organization
RAGGED MOUNTAIN ORTHOPAEDIC & SPORTS PHYSICAL THERAPY LLC
Active
Other names
Ragged Mountain Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE FOWLER MPT (OWNER/PHYSICAL THERAPIST)
(603) 735-5114
Entity
Organization
Contact information
Practice address
10 LAWRENCE STREET, ANDOVER, NH 03216
(603) 735-5114
Mailing address
PO BOX 146, ANDOVER, NH 03216-0146
(603) 735-5114
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2130
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30393122
—
NH
Enumeration date
07/21/2009
Last updated
05/28/2024
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