Individual
LUCILLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11 CONTINENTAL BLVD STE A, MERRIMACK, NH 03054-4341
(603) 424-1950
(603) 424-4749
Mailing address
11 CONTINENTAL BLVD STE A, MERRIMACK, NH 03054-4341
(603) 424-1950
(603) 424-4749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0726
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0726
PT LICENSE #
NH
05
—
30004221
—
NH
Enumeration date
11/20/2006
Last updated
11/03/2020
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