Provider Demographics
NPI:1164534251
Name:MINAR ZIEGLER, JACLYN ANN (PT)
Entity Type:Individual
Prefix:
First Name:JACLYN
Middle Name:ANN
Last Name:MINAR ZIEGLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 W HOLLIS ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1358
Mailing Address - Country:US
Mailing Address - Phone:603-886-2710
Mailing Address - Fax:603-882-9446
Practice Address - Street 1:505 W HOLLIS ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1358
Practice Address - Country:US
Practice Address - Phone:603-886-2710
Practice Address - Fax:603-882-9446
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3274225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist