Doctor Name: | BONNIE S MILLER |
NPI Number: | 1265513394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 40QA00666200 |
Business Practice Address: | 80 Hazlet Ave Suite 2 Hazlet, NJ - 077301623 |
Business Phone Number: | 7322641031 |
Business Fax Number: | 7322641031 |
Mailing Address: | 80 Hazlet Ave, Suite 2 HAZLET |
State: | NJ |
Postal Code: | 077301623 |
Phone Number: | 7322641031 |
Fax Number: | 7322641031 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA00666200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |