MEDICARE: LEA FUX-JUSTER PT

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	0977	NH

General Provider Information

NPI Number	:	1598978264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEA FUX-JUSTER PT

Provider Business Mailing Address
First Line	:	338 NEWTON DR
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03063-3251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	769 S MAIN ST
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03102-5166
Country	:	US
Telephone Number	:	603-641-6700
Fax Number	:

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

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