MEDICARE: MORGAN PILLSBURY DPT

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
1	225100000X	Physical Therapist	4818	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4818	OTHER	NH	LICENSURE

General Provider Information

NPI Number	:	1376115980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN PILLSBURY DPT

Provider Business Mailing Address
First Line	:	101 RALEIGH WAY
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-3442
Country	:	US
Telephone Number	:	207-776-5628
Fax Number	:

Provider Business Practice Location Address
First Line	:	58 LAFAYETTE RD BAY 8
Second Line	:
City	:	NORTH HAMPTON
State	:	NH
Zip	:	03862-2463
Country	:	US
Telephone Number	:	207-776-5628
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	05/10/2023

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Directions to “ MORGAN PILLSBURY DPT” Practice Location

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