Healthcare Provider Details

I. General information

NPI: 1316856065
Provider Name (Legal Business Name): OLGA LUCIA MCSORLEY PT, DPT, MSPT, EDD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 RIDGEWOOD RD
BEDFORD NH
03110-6510
US

IV. Provider business mailing address

3 PERRY CT
LITCHFIELD NH
03052-8044
US

V. Phone/Fax

Practice location:
  • Phone: 603-623-8805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1600
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: