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Individual

MATTHEW DONOHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC

Contact information

Practice address
7 MARSH BROOK DRIVE, SUITE 101, SOMERSWORTH, NH 03878
(603) 749-6686
(603) 749-9270
Mailing address
7 MARSH BROOK DRIVE, SUITE 101, SOMERSWORTH, NH 03878
(603) 749-6686
(603) 749-9270

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206914
VA
225100000X
Physical Therapist
3731
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3731
PT LICENSE
NH
Enumeration date
06/16/2011
Last updated
09/10/2012
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