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Individual

COURTNEY D DUPONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
25 RIDGEWOOD RD, BEDFORD, NH 03110-6510
(603) 623-8805
Mailing address
25 RIDGEWOOD RD, BEDFORD, NH 03110-6510
(603) 623-8805

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0787
NH
225200000X
Physical Therapy Assistant
7890
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0787
PTA LISCENSE
NH
01
7890
PTA LISCENSE
MA
Enumeration date
02/28/2008
Last updated
04/29/2015
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