Individual
JENNIFER O'DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
60 MIDDLE RD, DOVER, NH 03820-4146
(603) 740-4111
Mailing address
13 ELLIOT PARK, DOVER, NH 03820-4264
(603) 749-5810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0494
NH
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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