Ms. Candice E Derusha, PT
Physical Therapist in Concord, New Hampshire
1104087097- Practice location
- 264 Pleasant St, Concord, NH 03301-2551
- Phone
- 603-228-4610
- Fax
- 603-228-7264
- Last updated
- June 23, 2008
Candice E Derusha is a Physical Therapist based in Concord, NH. Candice E Derusha practices in Concord, NH and has the professional credentials of PT. The NPI Number for Candice E Derusha is 1104087097 and holds a License No. 3335 (NH). The current practice location address for Candice E Derusha is 264 Pleasant St, Concord, NH 03301-2551 and can be reached out via phone at 603-228-4610 and via fax at 603-228-7264.
Provider Profile Details
- NPI Number
- 1104087097
- Provider Name
- Candice E Derusha
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 264 Pleasant St, Concord, NH 03301-2551
- Phone Number
- 603-228-4610
- Fax Number
- 603-228-7264
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 23, 2008
- Last Update Date
- June 23, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 264 Pleasant St
Concord, NH 03301-2551 - City
- Concord
- State
- New Hampshire
- Zip
- 03301-2551
- Phone Number
- 603-228-4610
- Fax Number
- 603-228-7264
Provider Business Mailing Address Details
- Address
- 250 Pleasant St
Concord, NH 03301-7539 - City
- Concord
- State
- NH
- Zip
- 03301-7539
- Phone Number
- 603-228-4610
- Fax Number
- 603-228-7264
License Information
- License Number
- 3335
- License State
- NH
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Candice E Derusha, PT?
The NPI number of Ms. Candice E Derusha, PT is 1104087097. It was assigned on June 23, 2008 and is currently active in the NPPES registry.
What is the specialty of Ms. Candice E Derusha, PT?
Ms. Candice E Derusha, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NH under license number 3335.
Where does Ms. Candice E Derusha, PT practice?
The practice location is 264 Pleasant St, Concord, NH 03301-2551. The office can be reached at 603-228-4610 (phone) or 603-228-7264 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104087097 directly on the NPPES registry website.