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NPI Code Detail

MEDICARE: BETSY J SUGGS P.T.A.

MEDICARE: BETSY J SUGGS P.T.A.
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
1225200000XPhysical Therapy AssistantTE005453LPA
2225200000XPhysical Therapy Assistant1337NH

General Provider Information

NPI Number : 1942208897
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETSY J SUGGS P.T.A.
Provider Business Mailing Address
First Line : 600 SAINT JOHNSBURY RD
Second Line :
City : LITTLETON
State : NH
Zip : 03561-3442
Country : US
Telephone Number : 603-444-9530
Fax Number : 603-444-9361
Provider Business Practice Location Address
First Line : 600 SAINT JOHNSBURY RD
Second Line :
City : LITTLETON
State : NH
Zip : 03561-3442
Country : US
Telephone Number : 603-444-9530
Fax Number : 603-444-9361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 01/19/2022

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