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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANITE STATE ADAPTIVE

Active Organization

GRANITE STATE ADAPTIVE is a Physical Therapy Assistant organization located in MIRROR LAKE, New Hampshire. NPI 1114366887 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MIRROR LAKE, NH

Registration Details

NPI Number
1114366887
Provider Type
Organization
NPI Issued
Jun 17, 2013 (13.164107622523 yrs)
Last Updated
Jun 17, 2013
Licenses
2924M (NH)
681 (NH)

Practice Information

Address
44 MIRROR LAKE DR
MIRROR LAKE, NH, 038535953
Browse NH providers · Browse ZIP 03853
Phone
6033871167
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.