Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2722 | NH |
N | 2251C2600X | Cardiopulmonary | 2722 | NH |
N | 2251E1200X | Ergonomics | 2722 | NH |
N | 225XE1200X | Ergonomics | 2722 | NH |
N | 2251E1300X | Electrophysiology, Clinical | 2722 | NH |
N | 2251G0304X | Physical Therapist - Geriatrics | 2722 | NH |
N | 2251H1200X | Hand | 2722 | NH |
N | 2251H1300X | Human Factors | 2722 | NH |
N | 225XH1300X | Human Factors | 2722 | NH |
N | 2251N0400X | Physical Therapist - Neurology | 2722 | NH |
N | 2251P0200X | Physical Therapist - Pediatrics | 2722 | NH |
N | 2251S0007X | Physical Therapist - Sports | 2722 | NH |
N | 2251X0800X | Physical Therapist - Orthopedic | 2722 | NH |
NPI | 1083702211 |
---|---|
Provider Name | Mr. Christopher Pierce |
First Address | Windham, NH 03087-2026 |
Second Address | Windham, NH 03087-2026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 26/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0715743 | (05) | MA |
08Y003616NH04 | ANTHEM BC/BS (01) | NH |
1227022 | AETNA (01) | MA |
30394929 | (05) | NH |
AA51374 | HARVARD PILGRIM (01) | NH |
RE6594 | MEDICARE (01) | NH |
TAX-ID | CIGNA (01) | NH |