Healthcare Provider Details

I. General information

NPI: 1457584492
Provider Name (Legal Business Name): SARAH ANNE GOZZO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 LAFAYETTE RD
NORTH HAMPTON NH
03862-2409
US

IV. Provider business mailing address

2 RICHARD ST
HAMPTON NH
03842-2753
US

V. Phone/Fax

Practice location:
  • Phone: 978-289-2626
  • Fax:
Mailing address:
  • Phone: 978-289-2626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number3244M
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number2686
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: