Organization
ACE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M COPPOLA PT (EXECUTIVE DIRECTOR OWNER)
(603) 228-7500
Entity
Organization
Contact information
Practice address
171 PLEASANT ST, SUITE 101, CONCORD, NH 03301-2547
(603) 228-7500
(603) 228-3503
Mailing address
171 PLEASANT ST, SUITE 101, CONCORD, NH 03301-2547
(603) 228-7500
(603) 228-3503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2164
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140699
CIGNA
NH
01
—
0805655Y0NH02
BLUECROSS GROUP ID
NH
05
—
30393244
—
NH
01
—
3709821
AETNA HMO
—
01
—
685494
UNITED HEALTH CARE
NH
01
—
7052413
AETNA PPO
NH
01
—
AA22614
HARVARD PILGRIM
NH
Enumeration date
04/25/2007
Last updated
05/07/2008
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