Individual
JONATHAN SHRECKENGOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 PLANTATION DR, JAFFREY, NH 03452-6631
(603) 532-8762
Mailing address
40 BARKER ST, KEENE, NH 03431-2404
(361) 771-5030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1254
NH
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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