Individual
MS. BONNIE K KIMMELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, PT
Contact information
Practice address
33 MORGAN DR, LEBANON, NH 03766-1408
(603) 643-7788
(603) 643-0022
Mailing address
PO BOX 727, 33 MORGAN DR, LEBANON, NH 03766-0727
(603) 643-7788
(603) 643-0022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NH0450
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009398
—
NH
05
—
ORE5196
—
VT
Enumeration date
02/28/2007
Last updated
09/14/2007
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