Individual
JEAN CLOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
85 MAIN ST STE 311, PLYMOUTH, NH 03264-1500
(603) 481-0055
Mailing address
39 POTTER HILL RD UNIT 104, GILFORD, NH 03249-6864
(603) 860-7431
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0037
NH
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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