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NPI Code Detail

MEDICARE: AMBER LEIGH SCHAEFER DPT

MEDICARE: AMBER LEIGH SCHAEFER 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 Therapist3893NH

General Provider Information

NPI Number : 1992117469
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER LEIGH SCHAEFER DPT
Provider Business Mailing Address
First Line : 644 WINONA RD
Second Line :
City : CENTER HARBOR
State : NH
Zip : 03226-3128
Country : US
Telephone Number : 603-238-2225
Fax Number : 603-238-2138
Provider Business Practice Location Address
First Line : 790 LAKE ST
Second Line :
City : BRISTOL
State : NH
Zip : 03222-4548
Country : US
Telephone Number : 603-744-0275
Fax Number : 603-744-9378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2014
Last Update Date : 06/02/2014

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Directions to “ AMBER LEIGH SCHAEFER DPT” Practice Location

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