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790 Lake St, Bristol, NH 03222-4548 | |
| (603) 744-0275 | |
| (603) 744-9378 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 790 Lake St, Bristol, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780986539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Allison M Morton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083087217 PECOS PAC ID: 7810326287 Enrollment ID: I20200406002323 |
| Provider Name | Mark Richard Kitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417283003 PECOS PAC ID: 8527102490 Enrollment ID: I20201006003128 |
| Provider Name | Jared Beukers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760150775 PECOS PAC ID: 7214326412 Enrollment ID: I20211109002631 |
| Provider Name | Michelle A Dow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134346356 PECOS PAC ID: 9830631357 Enrollment ID: I20240611003875 |
| Mailing Address | Practice Location Address |
|---|---|
60 Lyme St, Old Lyme, CT 06371-2332 Ph: (860) 434-9398 | 790 Lake St, Bristol, NH 03222-4548 Ph: (603) 744-0275 |
Cassie L Dorval, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Lake St, Bristol, NH 03222 Phone: 603-744-0275 Fax: 603-744-9378 | |
Dr. Eydie Kendall, PT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 Brook Rd, Bristol, NH 03222 Phone: 208-659-5848 | |
Colleen R Wallace, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Lake St, Bristol, NH 03222 Phone: 603-393-0135 | |
Brent B Meserve, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Lake St, Bristol, NH 03222 Phone: 603-744-0275 Fax: 603-744-9378 | |
Matthew Edward Kurz, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 Lake St, Bristol, NH 03222 Phone: 603-744-0275 Fax: 603-744-2138 | |
Bonnie K Colby, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Lake St, Bristol, NH 03222 Phone: 603-744-0275 Fax: 603-744-9378 |