Ms Jerusha Peram, PT | |
37 Main St, Conway, NH 03818-6166 | |
(603) 447-2533 | |
Not Available |
Full Name | Ms Jerusha Peram |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 37 Main St, Conway, 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 |
---|---|---|---|
1720861966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | CP048807T (New Hampshire) | Primary |
225100000X | Physical Therapist | 40QA02196100 (New Jersey) | Secondary |
Provider Name | Proform Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1073958351 PECOS PAC ID: 9436383114 Enrollment ID: O20131022001577 |
Mailing Address | Practice Location Address |
---|---|
Ms Jerusha Peram, PT 37 Main St, Conway, NH 03818-6166 Ph: (603) 447-2533 | Ms Jerusha Peram, PT 37 Main St, Conway, NH 03818-6166 Ph: (603) 447-2533 |
Lindsay Mayock, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37 Main St, Conway, NH 03818 Phone: 603-447-2533 Fax: 603-447-2544 | |
Emma Barnes Runquist, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 Hobbs St # 3, Conway, NH 03818 Phone: 603-242-1103 | |
Children Unlimited Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 182 West Main St, Conway, NH 03818 Phone: 603-447-6356 Fax: 603-447-1114 | |
Jeffrey Hanson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37 Main St, Conway, NH 03818 Phone: 603-447-2533 | |
Benjamin Wiggin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 Main St, Conway, NH 03818 Phone: 603-447-2533 | |
Christine Marie Dearborn, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 182 W Main St, Conway, NH 03818 Phone: 603-447-6356 Fax: 603-447-1114 | |
Betsy Donovan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37 Main St, Conway, NH 03818 Phone: 603-447-2533 |