Provider Demographics
NPI:1063470565
Name:HUGHES, SUSAN P (PT)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:P
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 SOUTH ST
Mailing Address - Street 2:BOW PHYSICAL THERAPY
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-3416
Mailing Address - Country:US
Mailing Address - Phone:603-224-5883
Mailing Address - Fax:603-224-6042
Practice Address - Street 1:501 SOUTH ST
Practice Address - Street 2:BOW PHYSICAL THERAPY
Practice Address - City:BOW
Practice Address - State:NH
Practice Address - Zip Code:03304-3416
Practice Address - Country:US
Practice Address - Phone:603-224-5883
Practice Address - Fax:603-224-6042
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1180225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH365993OtherCIGNA
NH0806017Y0NH02OtherBLUE CROSS
NH1843OtherHARVARD PILGRIM
NH1843OtherHARVARD PILGRIM