Individual
MR. JONATHAN MARK GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
18 ANSEL ST, SALEM, NH 03079-4550
(603) 401-3830
(603) 458-2121
Mailing address
18 ANSEL ST, SALEM, NH 03079-4550
(603) 401-3830
(603) 458-2121
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
11594
MA
2251P0200X
Pediatric Physical Therapist
Primary
2622
NH
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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