Organization
BEDFORD GERIATRIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNMARIE NANCY PROSKA PTA (DIRECTOR)
(603) 623-5300
Entity
Organization
Contact information
Practice address
108 RIVERWAY PLACE, BEDFORD, NH 03110
(603) 623-5300
(603) 623-5335
Mailing address
108 RIVERWAY PLACE, BEDFORD, NH 03110
(603) 623-5300
(603) 623-5335
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
0980
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30398673
—
NH
Enumeration date
09/14/2007
Last updated
08/30/2012
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