Organization
MCDONOUGHPT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MCDONOUGH PT (PRESIDENT)
(603) 654-5659
Entity
Organization
Contact information
Practice address
9 BROWN RD, WILTON, NH 03086-5718
(603) 654-5659
Mailing address
9 BROWN RD, WILTON, NH 03086-5718
(603) 654-5659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1014
NH
Other
Enumeration date
11/16/2010
Last updated
07/11/2011
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