Organization
REVITALIZED PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE CARLY TEMMEN DPT (OWNER)
(603) 686-0987
Entity
Organization
Contact information
Practice address
1 SUNDIAL AVE STE 312, MANCHESTER, NH 03103-7299
(978) 237-0336
(978) 748-9229
Mailing address
1 SUNDIAL AVE STE 312, MANCHESTER, NH 03103-7299
(978) 237-0336
(978) 748-9229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/05/2024
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