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NPI Code Detail

MEDICARE: NORTH SHORE MYOFASCIAL PHYSICAL THERAPY P.C.

MEDICARE: NORTH SHORE MYOFASCIAL PHYSICAL THERAPY P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterNH

General Provider Information

NPI Number : 1356624050
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH SHORE MYOFASCIAL PHYSICAL THERAPY P.C.
Provider Business Mailing Address
First Line : 85 SINCLAIR RD
Second Line :
City : NORTH HAVERHILL
State : NH
Zip : 03774-5963
Country : US
Telephone Number : 603-787-9000
Fax Number : 603-787-9999
Provider Business Practice Location Address
First Line : 85 SINCLAIR RD
Second Line :
City : NORTH HAVERHILL
State : NH
Zip : 03774-5963
Country : US
Telephone Number : 516-220-8835
Fax Number : 631-996-2958
Authorized Official
Title or Position : PRESIDENT
Name : MARIE LOUISE FRANCIS
Credential : PT
Telephone Number : 603-787-9000
Provider Enumeration Date : 09/20/2011
Last Update Date : 05/13/2021

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