Organization
WEEKS AND GOWEN PHYSICAL THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MAE PUNGOT RASTODER (QA DIRECTOR)
(603) 880-0448
Entity
Organization
Contact information
Practice address
23 CARYL LANE, CHARLESTOWN, NH 03603
(603) 826-9700
(603) 826-9703
Mailing address
PO BOX 1467, 23 CARYL LANE, CHARLESTOWN, NH 03603
(603) 826-9700
(603) 826-9703
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805417YONH01
ANTHEM
—
01
—
18028
BCBS
VT
01
—
563021
US HEALTHCARE
—
01
—
563330
US HEALTHCARE GROUP
—
01
—
613627
TUFTS
—
01
—
626558
HARVARD PILGRIM
—
01
—
63040
CIGNA GROUP
—
01
—
63042
CIGNA CLARE B GOWEN
—
05
—
80001596
—
NH
01
—
H003983
CHAMPUS
—
01
—
WEEK18026
BCBS
VT
Enumeration date
07/17/2006
Last updated
12/13/2024
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