Individual
MR. SCOTT JERRY ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6083 ALUMNI GYM, WHEELOCK ST, DARTMOUTH COLLEGE, HANOVER, NH 03755
(603) 646-2472
(603) 646-6455
Mailing address
95 BURPEE HILL RD, GRANTHAM, NH 03753-3601
(603) 863-3255
(603) 863-3255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0048
NH
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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