Provider Demographics
NPI:1730146143
Name:LANG-RICE, DONNA MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARIE
Last Name:LANG-RICE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:STEBBINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-3416
Mailing Address - Country:US
Mailing Address - Phone:603-225-4872
Mailing Address - Fax:602-224-6042
Practice Address - Street 1:401 GILFORD AVE
Practice Address - Street 2:UNIT 240
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-7500
Practice Address - Country:US
Practice Address - Phone:603-528-4152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0715225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
08Y002519NH01OtherBLUE CROSS BLUE SHIELD
DA2497OtherMEDICARE RAILROAD
2872811OtherAETNA
NH30392756Medicaid
NH50174OtherCIGNA
NHNH1843OtherHARVARD PILGRIM
NH50174OtherCIGNA