NPI 1083968770

Jacob O'Dougherty

Practitioner Physical Therapy Assistant Concord, NH

Practice location

Address: 200 Pleasant St, Concord, NH 03301-2505
Phone: (603) 225-6644

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1098 (NH)

Other Physical Therapy Assistant providers in New Hampshire →

Registry record

NPI: 1083968770
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2012
Record last updated: 1 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.