Provider Demographics
NPI:1821506841
Name:LITTLETON HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:LITTLETON HOSPITAL ASSOCIATION
Other - Org Name:ALPINE CLINIC PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-444-9505
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-0160
Mailing Address - Country:US
Mailing Address - Phone:603-259-7627
Mailing Address - Fax:603-735-6070
Practice Address - Street 1:11 RIVERGLEN LN STE 150
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-5751
Practice Address - Country:US
Practice Address - Phone:603-444-3352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty