Individual
JAKE ALAN MOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17 RIVERSIDE ST, STE 101, NASHUA, NH 03062-1304
(603) 883-0091
Mailing address
17 RIVERSIDE ST, STE 101, NASHUA, NH 03062-1304
(603) 883-0091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3790
NH
Other
Enumeration date
05/16/2013
Last updated
02/05/2024
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