Healthcare Provider Details

I. General information

NPI: 1295888147
Provider Name (Legal Business Name): PROCARE PHYSICAL THERAPY AND HAND CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 US HIGHWAY 1 BYP SUITE B
PORTSMOUTH NH
03801-5332
US

IV. Provider business mailing address

150 US HIGHWAY 1 BYP SUITE B
PORTSMOUTH NH
03801-5332
US

V. Phone/Fax

Practice location:
  • Phone: 603-431-5600
  • Fax: 603-431-5610
Mailing address:
  • Phone: 603-431-5600
  • Fax: 603-431-5610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MAYO A NOERDLINGER
Title or Position: MEMBER DIRECTOR
Credential:
Phone: 603-431-5600