Organization
CORNERSTONE PT ASSOCIATES,LLC
Active
Other names
Cornerstone Physical Therapy Associates,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MARK RICHARDS PT (OWNER)
(603) 895-6860
Entity
Organization
Contact information
Practice address
64 FREETOWN RD STE 3, RAYMOND, NH 03077-2356
(603) 895-6860
(603) 895-6861
Mailing address
64 FREETOWN RD STE 3, RAYMOND, NH 03077-2356
(603) 895-6860
(603) 895-6861
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0645
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12149135
CAQH
NH
01
—
1386832533
INDIVIDUAL NPI NUMBER
—
Enumeration date
12/30/2017
Last updated
12/30/2017
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