Organization
SMART PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MAURICE MCCULLOUGH PT (PRESIDENT)
(603) 526-7627
Entity
Organization
Contact information
Practice address
11 PLEASANT ST., NEW LONDON, NH 03257
(603) 526-7627
(603) 676-7967
Mailing address
PO BOX 1557, NEW LONDON, NH 03257-1557
(603) 526-7627
(603) 676-7967
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3343
NH
Other
Enumeration date
04/27/2011
Last updated
08/09/2011
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