Provider Demographics
NPI:1851619985
Name:PROREHAB MEDICAL PRODUCTS LLC
Entity Type:Organization
Organization Name:PROREHAB MEDICAL PRODUCTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-209-9693
Mailing Address - Street 1:12 PARMENTER RD UNIT B6
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3278
Mailing Address - Country:US
Mailing Address - Phone:617-209-9693
Mailing Address - Fax:978-717-9480
Practice Address - Street 1:12 PARMENTER RD UNIT B6
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3278
Practice Address - Country:US
Practice Address - Phone:617-209-9693
Practice Address - Fax:978-717-9480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies