Individual
JESSICA BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 HARVEY RD, LONDONDERRY, NH 03053-7449
(800) 657-6517
Mailing address
121 HANCOCK ST APT 2, SOMERVILLE, MA 02144-2654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13685
MA
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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