Provider Demographics
NPI:1780800235
Name:COUPAL, LORRIE ANN (MSPT DPT)
Entity type:Individual
Prefix:MRS
First Name:LORRIE
Middle Name:ANN
Last Name:COUPAL
Suffix:
Gender:F
Credentials:MSPT DPT
Other - Prefix:MISS
Other - First Name:LORRIE
Other - Middle Name:ANN
Other - Last Name:HODGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS MSPT
Mailing Address - Street 1:143 RAYMOND RD
Mailing Address - Street 2:
Mailing Address - City:CANDIA
Mailing Address - State:NH
Mailing Address - Zip Code:03034-2133
Mailing Address - Country:US
Mailing Address - Phone:603-483-3355
Mailing Address - Fax:603-483-3357
Practice Address - Street 1:5 GEORGE STREET
Practice Address - Street 2:SNHMC
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051
Practice Address - Country:US
Practice Address - Phone:603-598-0729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15070225100000X
NH2480225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist