Provider Demographics
NPI:1003238965
Name:KORNERSTONE KIDS THERAPY & LEARNING CENTER
Entity Type:Organization
Organization Name:KORNERSTONE KIDS THERAPY & LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-935-9723
Mailing Address - Street 1:1650 ELM ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1217
Mailing Address - Country:US
Mailing Address - Phone:603-935-9723
Mailing Address - Fax:603-935-9673
Practice Address - Street 1:1650 ELM ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1217
Practice Address - Country:US
Practice Address - Phone:603-935-9723
Practice Address - Fax:603-935-9673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty