Healthcare Provider Details

I. General information

NPI: 1821045634
Provider Name (Legal Business Name): POWER WHEELCHAIRS OF AMERICA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 HIGH ST
CANDIA NH
03034-2022
US

IV. Provider business mailing address

575 HIGH ST
CANDIA NH
03034-2022
US

V. Phone/Fax

Practice location:
  • Phone: 603-483-2112
  • Fax: 603-483-2114
Mailing address:
  • Phone: 603-483-2112
  • Fax: 603-483-2114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. TONY J CRESTA
Title or Position: PRESIDENT
Credential:
Phone: 603-483-2112