Individual
LOUANN BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0549
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y003908NH01
ANTHEM
NH
05
—
30392313
—
NH
Enumeration date
08/09/2006
Last updated
10/30/2024
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