Individual
MRS. JENNIFER MARION DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
806 NORTH MAIN STREET, LACONIA, NH 03246
(603) 524-9090
(603) 524-1497
Mailing address
806 NORTH MAIN STREET, BOOTHBY THERAPY SERVICES, LACONIA, NH 03246
(603) 524-9090
(603) 524-1497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1439
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1439
NH OTR LICENSE
NH
Enumeration date
11/02/2006
Last updated
02/24/2021
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