Individual
MR. PETER JAMES MINNEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
809
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0806594Y0NH01
BLUE CROSS
NH
05
—
40002952
—
NH
01
—
NA1218
HARVARD
NH
Enumeration date
07/01/2006
Last updated
07/21/2022
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