Healthcare Provider Details

I. General information

NPI: 1669780425
Provider Name (Legal Business Name): COMMUNITY PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 CROSBY RD SUITE #1
DOVER NH
03820-4370
US

IV. Provider business mailing address

113 CROSBY RD SUITE #1
DOVER NH
03820-4370
US

V. Phone/Fax

Practice location:
  • Phone: 603-516-9300
  • Fax: 603-740-9179
Mailing address:
  • Phone: 603-516-9300
  • Fax: 603-740-9179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE BAGDASARIAN
Title or Position: CFO
Credential:
Phone: 603-516-9522