Shad Hansen, | |
17 Riverside St, Suite 203, Nashua, NH 03062-1304 | |
(603) 889-0177 | |
Not Available |
Full Name | Shad Hansen |
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Gender | Male |
Speciality | Physical Therapist |
Location | 17 Riverside St, Nashua, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720472483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2840 (New Hampshire) | Primary |
Provider Name | Derry Sports & Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487670386 PECOS PAC ID: 1052666807 Enrollment ID: O20180619001012 |
Mailing Address | Practice Location Address |
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Shad Hansen, 17 Riverside St, Suite 203, Nashua, NH 03062-1304 Ph: (603) 889-0177 | Shad Hansen, 17 Riverside St, Suite 203, Nashua, NH 03062-1304 Ph: (603) 889-0177 |
Julia Glisson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 76 Northeastern Blvd Ste 24b, Nashua, NH 03062 Phone: 603-943-5029 | |
Alicia M Brown, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 460 Amherst St, Southern Nh Rehabilitation Center, Nashua, NH 03063 Phone: 603-577-8400 Fax: 603-577-8405 | |
Catherine Amy Walsh, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 522 Amherst St, Ste 22, Nashua, NH 03063 Phone: 603-880-0448 Fax: 603-881-5280 | |
Melissa Campbell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 460 Amherst St, Snhhs, Nashua, NH 03063 Phone: 603-579-3601 | |
Ivyrehab New Hampshire, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 493 Amherst St Ste P, Nashua, NH 03063 Phone: 914-294-4050 | |
Deepali Batish, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Harris Rd, Nashua, NH 03062 Phone: 603-888-1573 | |
Meredith Frazier, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Industrial Park Dr, Nashua, NH 03062 Phone: 603-882-4500 |