Organization
DIANE KLEIST PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE KLEIST PT (OWNER, PT, PRESIDENT)
(603) 427-5370
Entity
Organization
Contact information
Practice address
152 COURT ST STE 4, PORTSMOUTH, NH 03801-4453
(603) 427-5370
Mailing address
152 COURT ST STE 4, PORTSMOUTH, NH 03801-4453
(603) 427-5370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0972
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0806164YONH02
BLUE CROSS
NH
01
—
205140100
DEPT OF LABOR
—
01
—
2198450
FIRST HEALTH
—
05
—
3080313
—
NH
Enumeration date
04/10/2013
Last updated
04/10/2013
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