Organization
INTEGRATED REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIUS JOSEPH DONNELLY DPT (PRESIDENT)
(603) 539-5351
Entity
Organization
Contact information
Practice address
1230 ROUTE 16, HODSDON FARM BUILDING, OSSIPEE, NH 03864-0297
(603) 539-5351
(603) 539-3531
Mailing address
PO BOX 297, OSSIPEE, NH 03864-0297
(603) 539-5351
(603) 539-3531
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
NH656
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30390697
—
NH
Enumeration date
08/25/2010
Last updated
08/26/2010
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