Provider Demographics
NPI:1275793556
Name:HARRISON, AMY L (MPT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MPT
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Mailing Address - Street 1:460 AMHERST STREET
Mailing Address - Street 2:SOUTHERN NEW HAMPSHIRE REHABILITATION CENTER
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-0220
Mailing Address - Country:US
Mailing Address - Phone:603-577-8400
Mailing Address - Fax:603-577-8405
Practice Address - Street 1:460 AMHERST STREET
Practice Address - Street 2:SOUTHERN NEW HAMPSHIRE REHABILITATION CENTER
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-0220
Practice Address - Country:US
Practice Address - Phone:603-577-8400
Practice Address - Fax:603-577-8405
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH26262251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic