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NPI Code Detail

MEDICARE: MEGHAN E PELLETIER PT DPT

MEDICARE: MEGHAN E PELLETIER PT 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
1225100000XPhysical Therapist3597NH

General Provider Information

NPI Number : 1427492461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN E PELLETIER PT DPT
Provider Business Mailing Address
First Line : 11 THOMAS ST
Second Line :
City : WINDHAM
State : NH
Zip : 03087-1156
Country : US
Telephone Number : 603-339-0168
Fax Number :
Provider Business Practice Location Address
First Line : 21 SEARLES RD
Second Line :
City : WINDHAM
State : NH
Zip : 03087-1203
Country : US
Telephone Number : 603-890-1290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2013
Last Update Date : 04/22/2013

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Directions to “ MEGHAN E PELLETIER PT DPT” Practice Location

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