Brian D Jacques
Physical Therapy Assistant in Dover, NH. Individual provider (NPI-1).
NPI number1861997496
StatusActive
Last updated in NPPESMar 26, 2018
Details
- NPI
- 1861997496
- Entity type
- Individual (NPI-1)
- Name
- Brian D Jacques
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2018
- Last updated
- Mar 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 0718 | NH | Yes |
Practice location
60 Middle RdDover, NH 03820-4146
Phone 603-743-4110
Mailing address
299 Blackwater RdRochester, NH 03867-4615
Phone 603-973-9577
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Other Physical Therapy Assistant providers in Dover, NH
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- Christine Lynn Desimone, PTANPI 1447566237
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All 17 Physical Therapy Assistant providers in Dover · All 1,556 providers in Dover
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