Individual
MARY MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 DANIEL WEBSTER HWY, BOSCAWEN, NH 03303-2410
(603) 654-5659
Mailing address
9 BROWN RD, WILTON, NH 03086-5718
(603) 654-5659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1014
NH
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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