Organization
BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
Active
Other names
CAPITAL PHYSICAL THERAPY, Bay State Physical Therapy of Randolph INC
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WINDWER (CEO)
(781) 961-3370
Entity
Organization
Contact information
Practice address
40 CENTRE ST, CONCORD, NH 03301-4214
(603) 224-3511
(603) 224-3556
Mailing address
703 GRANITE ST STE 300, BRAINTREE, MA 02184-5350
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
NH
225X00000X
Occupational Therapist
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090178
—
NH
Enumeration date
08/30/2006
Last updated
01/25/2021
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