Jolanta Kopaczewska

Individual provider Active NPI Physical Therapist · Lancaster, NH

NPI 1992822381 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992822381
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1895 (NH)
Practice address
91 Country Village Rd
Lancaster, NH 03584-3142
Phone
(603) 788-4735
Fax
(603) 788-2404
NPI assigned
Mar 23, 2007
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
1895NHMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1895 NH Yes

Addresses

Primary practice location

91 Country Village Rd
Lancaster, NH 03584-3142

Mailing address

97 Windsor LN
Woodsville, NH 03785-4243

Other providers in Lancaster, NH

All providers in Lancaster, NH · Physical Therapist in New Hampshire

Sources for this page

Verify at the official NPI Registry.