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NPI Code Detail

MEDICARE: ENJOY LIFE PHYSICAL THERAPY AND WELLNESS

MEDICARE: ENJOY LIFE PHYSICAL THERAPY AND WELLNESS
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 Therapist

General Provider Information

NPI Number : 1679337216
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENJOY LIFE PHYSICAL THERAPY AND WELLNESS
Provider Business Mailing Address
First Line : 500 N COMMERCIAL ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03101-1151
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 N COMMERCIAL ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03101-1151
Country : US
Telephone Number : 603-722-7571
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TOKI TAHARA
Credential :
Telephone Number : 603-722-7571
Provider Enumeration Date : 02/13/2024
Last Update Date : 02/13/2024

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Directions to “ENJOY LIFE PHYSICAL THERAPY AND WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.