Individual
DOROTHEA P. FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NHD
Contact information
Practice address
43 MAIN STREET 2ND FLOOR, WILTON, NH 03086-5511
(603) 654-9697
Mailing address
42 PINE VALLEY ST, WILTON, NH 03086-5511
(603) 654-9697
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1370M
NH
261QH0100X
Health Service Clinic/Center
1370M
NH
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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