Individual
JENNIFER M GANDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 US HIGHWAY 1 BYP, PORTSMOUTH, NH 03801-5332
(603) 431-5600
(603) 431-5610
Mailing address
72 BREWSTER ST, PORTSMOUTH, NH 03801-3965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3045
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NH
Enumeration date
11/13/2006
Last updated
07/08/2007
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