Provider Demographics
NPI:1265819676
Name:NATURA PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:NATURA PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-547-9465
Mailing Address - Street 1:75 GILCREAST RD UNIT 310
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3567
Mailing Address - Country:US
Mailing Address - Phone:603-547-9465
Mailing Address - Fax:603-552-5214
Practice Address - Street 1:75 GILCREAST RD UNIT 310
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3567
Practice Address - Country:US
Practice Address - Phone:603-547-9465
Practice Address - Fax:603-552-5214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2234225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty