Organization
PROAGING REHAB AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA LEE BRACKETT MPT (OWNER)
(603) 401-7141
Entity
Organization
Contact information
Practice address
5 NOTTINGHAM LN, SALEM, NH 03079-5203
(603) 401-7141
Mailing address
5 NOTTINGHAM LN, SALEM, NH 03079-5203
(603) 401-7141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/08/2022
Last updated
05/22/2022
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