Individual
BRENT JEFFREY UNDERKOFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
37 MAIN ST, CONWAY, NH 03818-6166
(207) 780-8860
(207) 523-8584
Mailing address
37 MAIN ST, CONWAY, NH 03818-6166
(603) 447-2533
(603) 447-2544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21332
MA
225100000X
Physical Therapist
Primary
4067
NH
225100000X
Physical Therapist
PT5103
ME
Other
Enumeration date
10/28/2015
Last updated
08/22/2025
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