| Proaging Rehab And Wellness Llc | |
|
5 Nottingham Ln, Salem, NH 03079-5203 | |
| (603) 401-7141 | |
| Not Available |
| Full Name | Proaging Rehab And Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5 Nottingham Ln, Salem, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457097974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Virginia Lee Brackett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588174486 PECOS PAC ID: 6507298783 Enrollment ID: I20201128000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Proaging Rehab And Wellness Llc 5 Nottingham Ln, Salem, NH 03079-5203 Ph: (603) 401-7141 | Proaging Rehab And Wellness Llc 5 Nottingham Ln, Salem, NH 03079-5203 Ph: (603) 401-7141 |
Lauren Rashford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 | |
Mrs. Gerriann Samowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler Street, Salem, NH 03079 Phone: 603-893-2900 Fax: 603-893-1628 | |
Mariebeth Velando, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 866-420-1055 | |
Dan Morin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 866-420-1055 | |
Lory D. Grenier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler St., Salem, NH 03079 Phone: 603-893-2900 Fax: 603-893-1628 | |
Jennifer Campbell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler Street, Salem, NH 03079 Phone: 603-893-2900 Fax: 603-893-1628 | |
Joshua Sigsworth, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-1673 Fax: 866-420-1055 |