Organization
BEDFORD GERIATRIC PHYSICAL THERAPY, LLC
Active
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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