Organization
KIMBERLY FOTTER, PT
Active
Other names
Winkin' Pony Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FOTTER PT (PHYSICAL THERAPIST/OWNER)
(603) 547-5970
Entity
Organization
Contact information
Practice address
99 JOURNEYS END RD, FRANCESTOWN, NH 03043-3506
(603) 547-5970
(603) 547-2227
Mailing address
99 JOURNEYS END RD, FRANCESTOWN, NH 03043-3506
(603) 547-5970
(603) 547-2227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1337
NH
225X00000X
Occupational Therapist
0938
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y005035NH02
ANTHEM
NH
05
—
30393167
—
NH
01
—
3434134
CIGNA
NV
01
—
7556712
AETNA
NH
Enumeration date
05/21/2008
Last updated
05/21/2008
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