Healthcare Provider Details

I. General information

NPI: 1588674477
Provider Name (Legal Business Name): HORSESHOE POND PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 12/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 COMMERICAL ST SUITE 4
CONCORD NH
03301
US

IV. Provider business mailing address

28 COMMERICAL ST SUITE 4
CONCORD NH
03301
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-5132
  • Fax: 603-225-6061
Mailing address:
  • Phone: 603-225-5132
  • Fax: 603-225-6061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MARGARET M DONOHUE
Title or Position: PARTNER
Credential: PT
Phone: 603-225-5132