Individual
BONNIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-6630
Mailing address
42 PARK AVE, KEENE, NH 03431-2352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1779
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y010956NH01
ANTHEM
NH
01
—
4149518
MVP
NH
Enumeration date
04/20/2007
Last updated
09/13/2024
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