Healthcare Provider Details

I. General information

NPI: 1083720841
Provider Name (Legal Business Name): APPLE NASHUA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 RIVERSIDE ST STE. 203
NASHUA NH
03062-1304
US

IV. Provider business mailing address

17 RIVERSIDE ST STE. 203
NASHUA NH
03062-1304
US

V. Phone/Fax

Practice location:
  • Phone: 603-889-0177
  • Fax: 603-889-0176
Mailing address:
  • Phone: 603-889-0177
  • Fax: 603-889-0176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LYNN HELLER
Title or Position: DIRECTOR
Credential: OT
Phone: 603-889-0177