Provider Demographics
NPI:1033311691
Name:ALLUMBAUGH, ROSS MARTIN (PT)
Entity type:Individual
Prefix:
First Name:ROSS
Middle Name:MARTIN
Last Name:ALLUMBAUGH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 EVANS RD
Mailing Address - Street 2:
Mailing Address - City:MADBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03823-7621
Mailing Address - Country:US
Mailing Address - Phone:603-801-4116
Mailing Address - Fax:
Practice Address - Street 1:55 EVANS RD
Practice Address - Street 2:
Practice Address - City:MADBURY
Practice Address - State:NH
Practice Address - Zip Code:03823-7621
Practice Address - Country:US
Practice Address - Phone:603-801-4116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist