Individual
JAVIER A CORREDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3 SUNDIAL AVE, MANCHESTER, NH 03103-7230
(603) 296-6317
Mailing address
10 ASHWOOD CT, ATKINSON, NH 03811-2722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2839
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y011351NH01
ANTHEM INDIV #
NH
01
—
099268
ANTHEM MAINE
ME
05
—
30394987
—
NH
01
—
AA79032
HARVARD PILGRIM GROUP #
—
01
—
RE8968
MEDICARE GROUP #
NH
Enumeration date
12/15/2006
Last updated
07/26/2010
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