Individual
MS. LINDA J. OWOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20 COMMERCE PARK N, SUITE 103, BEDFORD, NH 03110-6911
(603) 472-5546
(603) 472-5095
Mailing address
20 COMMERCE PARK N, SUITE 103, BEDFORD, NH 03110-6911
(603) 472-5546
(603) 472-5095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0789
NH
225100000X
Physical Therapist
5763
MA
225100000X
Physical Therapist
PT005694L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y004036NH03
ANTHEM INDIVIDUAL ID#
NH
05
—
3078496
—
NH
01
—
7182388
AETNA-INDIVIDUAL PROVIDER
NH
01
—
7862579
CIGNA GROUP ID ONLY
NH
Enumeration date
12/21/2005
Last updated
09/09/2013
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