Individual
BARB JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 WHITEHALL RD, ROCHESTER, NH 03867-3225
(603) 332-7711
Mailing address
40 WHITEHALL RD, ROCHESTER, NH 03867-3225
(603) 332-7711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1852
NH
225100000X
Physical Therapist
9332
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1852
STATE OF NEW HAMPSHIRE
NH
01
—
9332
COMMONWEALTH OF MASSACHUSETTS
MA
Enumeration date
11/18/2015
Last updated
11/18/2015
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