Organization
PLAINFIELD PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL EDVIN (OWNER / PT)
(603) 675-2600
Entity
Organization
Contact information
Practice address
1110 RT 12A, PLAINFIELD, NH 03781
(603) 675-2600
(603) 675-2644
Mailing address
PO BOX 130, PLAINFIELD, NH 03781-0130
(603) 675-2600
(603) 675-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2983
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y007904NH01
ANTHEM
NH
05
—
30393503
—
NH
Enumeration date
11/15/2007
Last updated
11/19/2014
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