Provider Demographics
NPI:1912755281
Name:TOTAL PELVIC HEALTH LLC
Entity Type:Organization
Organization Name:TOTAL PELVIC HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L CLT
Authorized Official - Phone:603-401-5844
Mailing Address - Street 1:PO BOX 11
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO FALLS
Mailing Address - State:NH
Mailing Address - Zip Code:03896-0011
Mailing Address - Country:US
Mailing Address - Phone:603-401-5844
Mailing Address - Fax:
Practice Address - Street 1:19 ELM ST
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4479
Practice Address - Country:US
Practice Address - Phone:603-515-9726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty