Organization
LAKESIDE PHYSICAL THERAPY & FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK TOMASZ HADAM DPT (PRESIDENT)
(603) 323-2089
Entity
Organization
Contact information
Practice address
685 WHITE MOUNTAIN HWY, TAMWORTH, NH 03886-4638
(603) 323-2089
(603) 323-2097
Mailing address
685 WHITE MOUNTAIN HWY, TAMWORTH, NH 03886-4638
(603) 323-2089
(603) 323-2097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1953
NH
Other
Enumeration date
07/26/2010
Last updated
04/04/2024
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