Nancy Damboise, PTA

Individual provider Active NPI Physical Therapy Assistant · Salem, NH

NPI 1689046237 · NPPES record last updated Oct 22, 2015

Key facts

NPI
1689046237
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
526 (NH)
Practice address
70 Butler Street
Salem, NH 03079
Phone
(603) 893-2900
Fax
(603) 893-1628
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
526NHMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 526 NH Yes
Physical Therapy Assistant 225200000X 7675 MA

Addresses

Primary practice location

70 Butler Street
Salem, NH 03079

Mailing address

70 Butler Street
Salem, NH 03079
Phone (603) 893-2900

Other providers in Salem, NH

All providers in Salem, NH · Physical Therapy Assistant in New Hampshire

Sources for this page

Verify at the official NPI Registry.