Provider Demographics
NPI:1326120627
Name:BISKOVICH, KARIN W (MPT)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:W
Last Name:BISKOVICH
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 KOSCIUSZKO ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1624
Mailing Address - Country:US
Mailing Address - Phone:603-537-1677
Mailing Address - Fax:603-537-1676
Practice Address - Street 1:41 BUTTRICK RD
Practice Address - Street 2:MEDICAL PARK TWO
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3367
Practice Address - Country:US
Practice Address - Phone:603-537-1677
Practice Address - Fax:603-537-1676
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH08Y004794NH02OtherBCBS PROVIDER NUMBER