Individual
JACQUELINE RENEE HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
40 S RIVER RD, 58, BEDFORD, NH 03110-6719
(603) 626-4205
(603) 666-6617
Mailing address
40 S RIVER RD, 58, BEDFORD, NH 03110-6719
(603) 626-4205
(603) 666-6617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2585
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30392147
—
NH
Enumeration date
08/25/2005
Last updated
07/08/2007
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