Most Relevant Information
Provider Data
| NPI Number: | 1003030552 |
| Provider Name: | JESSICA CUNNINGHAM OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 3889 |
Most Important Dates
| Enumeration Date: | 04/13/2007 |
| Last Updated: | 01/13/2020 |
Provider Practice Location
10 MADISON AVE
GORHAM
NH
035811107
Practice Location Phone/Fax
| Phone: | 6037233123 |
| Fax: |
Provider Mailing Location
168 HOPKINTON RD
CONCORD
NH
033017911
Provider Mailing Phone/Fax
| Phone: | 6037233123 |
| Fax: |