Tracy Monterisi

Individual provider Active NPI Physical Therapy Assistant · Brentwood, NH

NPI 1750679155 · NPPES record last updated Jul 19, 2011

Key facts

NPI
1750679155
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1024 (NH)
Practice address
117 North Rd
Brentwood, NH 03833-6624
Phone
(603) 658-2210
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
Yes

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
1024NHMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1024 NH Yes

Addresses

Primary practice location

117 North Rd
Brentwood, NH 03833-6624

Mailing address

1 Mulberry St
Windham, NH 03087-1114

Other providers in Brentwood, NH

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

Sources for this page

Verify at the official NPI Registry.