Individual
DR. PATRICIA GRACE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C., ATC
Contact information
Practice address
74 STATE RD, RET1, KITTERY, ME 03904
(207) 439-9045
(207) 703-0289
Mailing address
3 SARAH PAUL HILL, MADBURY, NH 03823
(603) 740-4499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6191200
NH
2255A2300X
Athletic Trainer
393
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05Y003913NH01
ANTHEM
NH
01
—
623901
CIGNA
NH
01
—
AA19646
HPHC
NH
Enumeration date
10/02/2006
Last updated
08/20/2009
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