Individual
MR. THOMAS GARDNER DUFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,PT
Contact information
Practice address
55 HARRIS RD, NASHUA, NH 03062-2145
(603) 888-1573
(603) 897-0514
Mailing address
67 BOULDER DR, LONDONDERRY, NH 03053-3789
(603) 437-3563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15760
MA
225100000X
Physical Therapist
Primary
2674
NH
225100000X
Physical Therapist
PT011311L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334065
—
MA
01
—
15760
PHYS THERAPY LICENSE
MA
01
—
2674
PHYS THERAPY LICENSE
NH
01
—
PT011311L
PHYS THERAPY LICENSE
PA
Enumeration date
08/12/2006
Last updated
07/09/2007
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