Provider Demographics
NPI:1639482342
Name:ANITA FURBUSH, PT
Entity Type:Organization
Organization Name:ANITA FURBUSH, PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FURBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-536-1419
Mailing Address - Street 1:44 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:HOLDERNESS
Mailing Address - State:NH
Mailing Address - Zip Code:03245-5114
Mailing Address - Country:US
Mailing Address - Phone:603-536-1419
Mailing Address - Fax:603-536-1419
Practice Address - Street 1:231 MAIN ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1524
Practice Address - Country:US
Practice Address - Phone:603-536-1419
Practice Address - Fax:603-536-1419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1506225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty