Provider Demographics
NPI:1730308719
Name:PAUL E. HEAPS
Entity Type:Organization
Organization Name:PAUL E. HEAPS
Other - Org Name:EXETER HAMPTON PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEAPS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-778-0965
Mailing Address - Street 1:21 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4831
Mailing Address - Country:US
Mailing Address - Phone:603-778-0965
Mailing Address - Fax:603-773-9816
Practice Address - Street 1:21 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4831
Practice Address - Country:US
Practice Address - Phone:603-778-0965
Practice Address - Fax:603-773-9816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0493225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty