Organization
SEACOAST BODY BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HANSON GAHR PT (PHYSICAL THERAPIST)
(646) 294-8591
Entity
Organization
Contact information
Practice address
655 PORTSMOUTH AVE, GREENLAND, NH 03840-2264
(646) 294-8591
Mailing address
5 ORCHARD HILL RD, STRATHAM, NH 03885-2514
(646) 294-8591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3212
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30395172
—
NH
Enumeration date
05/16/2012
Last updated
05/16/2012
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