Healthcare Provider Details

I. General information

NPI: 1841635521
Provider Name (Legal Business Name): STEP BY STEP PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 07/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 NORTHEASTERN BLVD SUITE 21B
NASHUA NH
03062-3192
US

IV. Provider business mailing address

74 NORTHEASTERN BLVD UNIT 21B
NASHUA NH
03062-3192
US

V. Phone/Fax

Practice location:
  • Phone: 603-882-4500
  • Fax: 603-882-4545
Mailing address:
  • Phone: 603-882-4500
  • Fax: 603-882-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE DEE
Title or Position: PT
Credential: DPT
Phone: 781-789-5207