Organization
OWOC PHYSICAL THERAPY & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA J OWOC PT (MANAGER THERAPIST)
(603) 472-5546
Entity
Organization
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
2232
NH
225100000X
Physical Therapist
5763
MA
225100000X
Physical Therapist
PT005694L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078303
—
NH
01
—
7862579
CIGNA--GROUP ID
NH
01
—
NO GROUP
ANTHEM--INDIVIDUAL ONLY
NH
Enumeration date
12/21/2005
Last updated
09/09/2013
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