Healthcare Provider Details
I. General information
NPI: 1598541815
Provider Name (Legal Business Name): ANY PATH PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2023
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
425 S STARK HWY #3
WEARE NH
03281
US
IV. Provider business mailing address
P.O. BOX 264
LYNDEBOROUGH NH
03082-0264
US
V. Phone/Fax
- Phone: 603-316-4942
- Fax:
- Phone: 603-316-4942
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MAXWELL
POST
Title or Position: PHYSICAL THERAPIST/ OWNER
Credential: PT, DPT
Phone: 603-316-4942