Provider Demographics
NPI:1073362109
Name:INTENTION THERAPY AND WELLNESS
Entity type:Organization
Organization Name:INTENTION THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FROHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:603-305-5744
Mailing Address - Street 1:16 HIGHLAND GRN
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-3688
Mailing Address - Country:US
Mailing Address - Phone:603-305-5744
Mailing Address - Fax:603-305-5744
Practice Address - Street 1:16 HIGHLAND GRN
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-3688
Practice Address - Country:US
Practice Address - Phone:603-305-5744
Practice Address - Fax:603-305-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty