Individual
JONATHAN MART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 TRUMAN PL, PORTSMOUTH, NH 03801-5865
(603) 988-5301
Mailing address
3 TRUMAN PL, PORTSMOUTH, NH 03801-5865
(603) 988-5301
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP-1453-SA
MA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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