MEDICARE: HANNAH MARIE SMITH 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
1	225100000X	Physical Therapist	4501	NH

General Provider Information

NPI Number	:	1952968158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH MARIE SMITH DPT

Provider Business Mailing Address
First Line	:	15A OAK HILL AVE
Second Line	:
City	:	LITTLETON
State	:	NH
Zip	:	03561-4810
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	835 HANOVER ST STE 102
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03104-5401
Country	:	US
Telephone Number	:	603-625-1864
Fax Number	:

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

Provider Enumeration Date	:	05/22/2019
Last Update Date	:	05/22/2019

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Directions to “ HANNAH MARIE SMITH DPT” Practice Location

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