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10 Lawrence Street, Andover, NH 03216 | |
(603) 735-5114 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist - Orthopedic |
Location | 10 Lawrence Street, Andover, 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 |
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1215167556 | NPI | - | NPPES |
30393122 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
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2251X0800X | Physical Therapist - Orthopedic | 2130 (New Hampshire) | Primary |
Provider Name | Diane M Fowler |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144321720 PECOS PAC ID: 8820183957 Enrollment ID: I20071003000736 |
Provider Name | Thomas David Bartolino |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326198615 PECOS PAC ID: 1052307881 Enrollment ID: I20240802002598 |
Mailing Address | Practice Location Address |
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Po Box 146, Andover, NH 03216-0146 Ph: (603) 735-5114 | 10 Lawrence Street, Andover, NH 03216 Ph: (603) 735-5114 |
Diane Mealani Fowler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 Lawrence Street, Andover, NH 03216 Phone: 603-735-5114 Fax: 603-735-6141 |