Organization
DERRY SPORTS & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS VAILAS (OWNER)
(603) 232-4513
Entity
Organization
Contact information
Practice address
45 DANVILLE RD, EAST HAMPSTEAD, NH 03826
(603) 382-0019
(603) 382-1105
Mailing address
55 BRIDGE ST, MANCHESTER, NH 03101-1603
(603) 232-4513
(603) 782-5123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/24/2006
Last updated
07/17/2025
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