Individual
JENNIFER FORKEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 VERNEY DR, GREENFIELD, NH 03047-5000
(603) 547-3311
(603) 547-3571
Mailing address
1 VERNEY DR, GREENFIELD, NH 03047-5000
(603) 547-3311
(603) 547-3571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2451
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704121
MASSHEALTH
MA
05
—
30393585
—
NH
Enumeration date
05/17/2006
Last updated
07/08/2007
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