Individual
JONATHAN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
360 ROUTE 106 S, LOUDON, NH 03307-0822
(603) 785-5225
Mailing address
360 ROUTE 106 S, LOUDON, NH 03307-0822
(603) 785-5225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1121
NH
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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