Healthcare Provider Details

I. General information

NPI: 1669262457
Provider Name (Legal Business Name): AUDREIGH ANNA BREDE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 AMHERST ST
NASHUA NH
03063-1220
US

IV. Provider business mailing address

504 NASHUA ST APT 208
MILFORD NH
03055-4983
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-8400
  • Fax: 603-577-8405
Mailing address:
  • Phone: 603-499-2011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6005
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: