| Amanda Charlton, | |
|
6 Tsienneto Rd, Derry, NH 03038-1584 | |
| (603) 421-9959 | |
| Not Available |
| Full Name | Amanda Charlton |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6 Tsienneto Rd, Derry, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821716903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5040 (New Hampshire) | Primary |
| Provider Name | Coppola Physical Therapy And Fitness Gym Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346481561 PECOS PAC ID: 0345393302 Enrollment ID: O20090810000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Charlton, 6 Tsienneto Rd, Derry, NH 03038-1584 Ph: (603) 421-9959 | Amanda Charlton, 6 Tsienneto Rd, Derry, NH 03038-1584 Ph: (603) 421-9959 |
Seth Stoddard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd, Suite 201, Derry, NH 03038 Phone: 603-437-3338 Fax: 603-437-3255 | |
Krista Jean Rogic, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 17 Village Brook Ln, Derry, NH 03038 Phone: 603-490-3706 | |
Laura Xintaras-labore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd, Derry, NH 03038 Phone: 603-437-3338 Fax: 603-437-3255 | |
Nicole M Rogers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6 Tsienneto Road, Suite 201, Derry, NH 03038 Phone: 603-421-9959 Fax: 603-421-9960 | |
Marcus Armando Vesprini, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 6 Tsienneto Rd, Derry, NH 03038 Phone: 603-421-9959 | |
Casey Mcnamara, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8 Peabody Rd, Derry, NH 03038 Phone: 603-434-1566 | |
Ariele A Mcgrath, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 84 W Broadway, Derry, NH 03038 Phone: 781-202-6613 |