Provider Demographics
NPI:1447547294
Name:VANCE, JOSHUA B (DPT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:B
Last Name:VANCE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 CALEF HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-7244
Mailing Address - Country:US
Mailing Address - Phone:603-664-0100
Mailing Address - Fax:603-664-0101
Practice Address - Street 1:944 CALEF HWY STE 1
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-7244
Practice Address - Country:US
Practice Address - Phone:603-664-0100
Practice Address - Fax:603-664-0101
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPENDING225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist