Provider Demographics
NPI:1538410493
Name:SAPETA, BEATA (PT, PHD, COMT)
Entity type:Individual
Prefix:
First Name:BEATA
Middle Name:
Last Name:SAPETA
Suffix:
Gender:F
Credentials:PT, PHD, COMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 WEST ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-2429
Mailing Address - Country:US
Mailing Address - Phone:603-355-1578
Mailing Address - Fax:
Practice Address - Street 1:255 WEST ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-2429
Practice Address - Country:US
Practice Address - Phone:603-355-1578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3338225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist