Individual
MISS BONNIE LYNN NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
582 FIVE MILE RIVER RD, PUTNAM, CT 06260-2835
(508) 864-2853
Mailing address
582 FIVE MILE RIVER RD, PUTNAM, CT 06260-2835
(508) 864-2853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20436
FL
225200000X
Physical Therapy Assistant
3132
MA
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
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