Micucci, Sally
Micucci, Sally is an individual health care provider with primary practice located at 59 Page Hill Rd , Berlin NH 03570-3531. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Micucci, Sally can be contacted via phone (603) 326-5738.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1996 | New Hampshire |
Profile Details
| NPI number | 1124163142 |
|---|---|
| LBN Legal business name | Micucci, Sally |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124163142 | NPPES |
| New Hampshire | Other | 1996 | PT LICENCE |
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