Basic Information
| Provider Information | |||||||||
| NPI: | 1003156555 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FILASKI | ||||||||
| FirstName: | JOANN | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | PTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 50 PHEASANT RD | ||||||||
| Address2: | |||||||||
| City: | PETERBOROUGH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 034582110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6039247267 | ||||||||
| FaxNumber: | 6039247885 | ||||||||
| Practice Location | |||||||||
| Address1: | 50 PHEASANT RD | ||||||||
| Address2: | |||||||||
| City: | PETERBOROUGH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 034582110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6039247267 | ||||||||
| FaxNumber: | 6039247885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2013 | ||||||||
| LastUpdateDate: | 02/20/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 1045 | NH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.