Provider Demographics
NPI:1295888147
Name:PROCARE PHYSICAL THERAPY AND HAND CENTER
Entity type:Organization
Organization Name:PROCARE PHYSICAL THERAPY AND HAND CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAYO
Authorized Official - Middle Name:A
Authorized Official - Last Name:NOERDLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-431-5600
Mailing Address - Street 1:150 US HIGHWAY 1 BYP
Mailing Address - Street 2:SUITE B
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5332
Mailing Address - Country:US
Mailing Address - Phone:603-431-5600
Mailing Address - Fax:603-431-5610
Practice Address - Street 1:150 US HIGHWAY 1 BYP
Practice Address - Street 2:SUITE B
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5332
Practice Address - Country:US
Practice Address - Phone:603-431-5600
Practice Address - Fax:603-431-5610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHPENDINGMedicare ID - Type Unspecified