Healthcare Provider Details

I. General information

NPI: 1942427653
Provider Name (Legal Business Name): RICHARD A HOCHSPRUNG PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 N PEMBROKE RD
PEMBROKE NH
03275-3607
US

IV. Provider business mailing address

485 N PEMBROKE RD
PEMBROKE NH
03275-3607
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-5554
  • Fax: 603-224-4501
Mailing address:
  • Phone: 603-224-5554
  • Fax: 603-224-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1636
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: