Provider Demographics
NPI:1235366741
Name:THERAPEUTIC DIMENSIONS NORTHEAST, INC.
Entity Type:Organization
Organization Name:THERAPEUTIC DIMENSIONS NORTHEAST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCNALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-400-0993
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:
Mailing Address - City:DUNSTABLE
Mailing Address - State:MA
Mailing Address - Zip Code:01827-0332
Mailing Address - Country:US
Mailing Address - Phone:508-400-0993
Mailing Address - Fax:603-579-6930
Practice Address - Street 1:18 HADLEY DR
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1036
Practice Address - Country:US
Practice Address - Phone:508-400-0993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies