Granite State Adaptive
Granite State Adaptive provides Physical Therapist services in Mirror Lake, New Hampshire. Licensed in New Hampshire. Registered with an NPI since 2013.
- Licensed in
- NH
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
44 Mirror Lake DrMirror Lake, NH 03853-5953 Not confirmed with CMS for 13 years — call before visiting
Phone: (603) 387-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 681 (NH) |
|---|---|
| Massage Therapist | Taxonomy 225700000X · Licence 2924M (NH) |
Record details
| NPI number | 1114366887 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Haynes — President · (603) 387-1167 |
| NPI enumerated | June 17, 2013 |
| Last updated in NPPES | June 17, 2013 |
| Mailing address | Po Box 24, Mirror Lake, NH 03853-0024 |
Other providers in Mirror Lake
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Mrs. Jennifer Fraser Haynes, PT
44 Mirror Lake Dr, Mirror Lake, NH 03853-5953 · (603) 387-1167