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NPI Code Detail

MEDICARE: LINDSAY VAGO DPT

MEDICARE: LINDSAY VAGO 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 Therapist2698NH

General Provider Information

NPI Number : 1699808642
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY VAGO DPT
Provider Business Mailing Address
First Line : 700 S PORTER ST APT 14
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-3195
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 29 CENTER ST
Second Line :
City : GOFFSTOWN
State : NH
Zip : 03045-2948
Country : US
Telephone Number : 603-497-2376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/08/2007

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Directions to “ LINDSAY VAGO DPT” Practice Location

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