Healthcare Provider Details

I. General information

NPI: 1336685767
Provider Name (Legal Business Name): ALIGN PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2017
Last Update Date: 01/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 GARVINS FALLS RD
CONCORD NH
03301-5174
US

IV. Provider business mailing address

PO BOX 378
CONCORD NH
03302-0378
US

V. Phone/Fax

Practice location:
  • Phone: 603-573-9722
  • Fax:
Mailing address:
  • Phone: 603-573-9722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAWN GUERIN
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: PT
Phone: 603-573-9722