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Organization

COPPOLA PHYSICAL THERAPY FARMINGTON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN M COPPOLA PT,DPT (OWNER)
6036036088531
Entity
Organization

Contact information

Practice address
395 NH ROUTE 11, FARMINGTON, NH 03835-3844
(603) 000-0000
(603) 000-0000
Mailing address
395 NH ROUTE 11, FARMINGTON, NH 03835-3844
(603) 000-0000
(603) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/27/2011
Last updated
10/27/2011
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