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Organization

ACTIVE PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHRADDHA OZA (PHYSICAL THERAPIST/ OWNER)
(978) 726-3050
Entity
Organization

Contact information

Practice address
681 W HOLLIS ST, NASHUA, NH 03062
(978) 726-3050
(866) 852-9740
Mailing address
80 CHERRYWOOD DR, NASHUA, NH 03062-3080
(978) 726-3050
(866) 852-9740

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014326
MEDICARE PTAN
NH
Enumeration date
04/30/2012
Last updated
04/30/2012
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