Provider Demographics
NPI:1982060182
Name:STOTTER, MORGAN R (DPT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:R
Last Name:STOTTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 CALEF HWY UNIT 11
Mailing Address - Street 2:
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-2367
Mailing Address - Country:US
Mailing Address - Phone:603-679-8100
Mailing Address - Fax:603-679-8177
Practice Address - Street 1:285 CALEF HWY UNIT 11
Practice Address - Street 2:
Practice Address - City:EPPING
Practice Address - State:NH
Practice Address - Zip Code:03042
Practice Address - Country:US
Practice Address - Phone:603-679-8100
Practice Address - Fax:603-679-8177
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4497225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist