Most Relevant Information
Provider Data
NPI Number: | 1003242579 |
Provider Name: | CASSIE L DORVAL DPT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 3836 |
Most Important Dates
Enumeration Date: | 09/17/2013 |
Last Updated: | 09/17/2013 |
Provider Practice Location
790 LAKE ST
BRISTOL
NH
032224548
Practice Location Phone/Fax
Phone: | 6037440275 |
Fax: | 6037449378 |
Provider Mailing Location
790 LAKE ST
BRISTOL
NH
032224548
Provider Mailing Phone/Fax
Phone: | 6037440275 |
Fax: | 6037449378 |