Provider Demographics
NPI:1326099631
Name:KUPIAINEN, MARJA-LIISA
Entity Type:Individual
Prefix:
First Name:MARJA-LIISA
Middle Name:
Last Name:KUPIAINEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ARMORY RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3456
Mailing Address - Country:US
Mailing Address - Phone:603-673-0225
Mailing Address - Fax:603-673-4163
Practice Address - Street 1:17 ARMORY RD
Practice Address - Street 2:SUITE 3
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-3456
Practice Address - Country:US
Practice Address - Phone:603-673-0225
Practice Address - Fax:603-673-4163
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8797225100000X
NH3190225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0034119OtherNEIGHBORHOOD HEALTH PLAN
MA468915OtherTUFTS
MAY67897OtherBLUE CROSS BLUE SHIELD
MAY67897OtherBLUE CROSS BLUE SHIELD