Provider Demographics
NPI:1831436633
Name:NRHN REHAB PHYSICIAN SERVICES, INC
Entity type:Organization
Organization Name:NRHN REHAB PHYSICIAN SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTSONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-501-5500
Mailing Address - Street 1:105 CORPORATE DR
Mailing Address - Street 2:PEASE INTERNATIONAL TRADEPORT
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-6825
Mailing Address - Country:US
Mailing Address - Phone:603-501-5500
Mailing Address - Fax:
Practice Address - Street 1:105 CORPORATE DR
Practice Address - Street 2:PEASE INTERNATIONAL TRADEPORT
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-6825
Practice Address - Country:US
Practice Address - Phone:603-501-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty