Provider Demographics
NPI:1912954082
Name:PHYSICAL THERAPY CENTER OF MILFORD, INC.
Entity Type:Organization
Organization Name:PHYSICAL THERAPY CENTER OF MILFORD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ONKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-673-0225
Mailing Address - Street 1:589 ELM ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-4304
Mailing Address - Country:US
Mailing Address - Phone:603-673-0225
Mailing Address - Fax:603-673-4163
Practice Address - Street 1:589 ELM ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-4304
Practice Address - Country:US
Practice Address - Phone:603-673-0225
Practice Address - Fax:603-673-4163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE7288Medicare UPIN