Organization
MONADNOCK MYOFASCIAL RELEASE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOLLY MCMILLAN OTR/L (OWNER/DIRECTOR)
(603) 355-6637
Entity
Organization
Contact information
Practice address
103 ROXBURY ST, SUITE 200C, KEENE, NH 03431-8802
(603) 355-6637
Mailing address
103 ROXBURY ST, SUITE 200C, KEENE, NH 03431-8802
(603) 355-6637
(603) 355-6632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
02/06/2024
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