Doctor Name: | NINA M. MINNEAR |
NPI Number: | 1588852099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070.014662 |
Business Practice Address: | 1405 Mill St Thedacare Medical Center New London New London, WI - 549612155 |
Business Phone Number: | 9205312031 |
Business Fax Number: | 9205312056 |
Mailing Address: | 1405 Mill St, Thedacare Medical Center New London NEW LONDON |
State: | WI |
Postal Code: | 549612155 |
Phone Number: | 9205312031 |
Fax Number: | 9205312056 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.014662 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |