Individual
JONATHAN MICHAEL LIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
689 GILFORD AVE, GILFORD, NH 03249-7550
(603) 528-4152
Mailing address
689 GILFORD AVE, GILFORD, NH 03249-7550
(603) 528-4152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3907
NH
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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