Provider Demographics
NPI:1265776355
Name:STORNELLI, HILARY L (PT)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:L
Last Name:STORNELLI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 LAFAYETTE RD
Mailing Address - Street 2:STE C
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5679
Mailing Address - Country:US
Mailing Address - Phone:603-431-5610
Mailing Address - Fax:603-431-5610
Practice Address - Street 1:1900 LAFAYETTE RD
Practice Address - Street 2:STE C
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5679
Practice Address - Country:US
Practice Address - Phone:603-431-5610
Practice Address - Fax:603-431-5610
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3752225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist