Basic Information
| Provider Information | |||||||||
| NPI: | 1336558964 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CPTE SENIOR THERAPY SERVICES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 522 AMHERST ST | ||||||||
| Address2: | STE 22 | ||||||||
| City: | NASHUA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030631019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6038800448 | ||||||||
| FaxNumber: | 6038800448 | ||||||||
| Practice Location | |||||||||
| Address1: | 75 PEARL ST | ||||||||
| Address2: | RESIDENCE AT PEARL | ||||||||
| City: | READING | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01867 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6038800448 | ||||||||
| FaxNumber: | 6038815280 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2014 | ||||||||
| LastUpdateDate: | 08/07/2014 | ||||||||
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| AuthorizedOfficialLastName: | FISHMAN | ||||||||
| AuthorizedOfficialFirstName: | ADAM | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 6038800448 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.