Provider Demographics
NPI:1437336674
Name:MCNEAR, SONJA R
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:R
Last Name:MCNEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:JAFFREY
Mailing Address - State:NH
Mailing Address - Zip Code:03452-6583
Mailing Address - Country:US
Mailing Address - Phone:603-532-7420
Mailing Address - Fax:
Practice Address - Street 1:12 KINGSBURY ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3825
Practice Address - Country:US
Practice Address - Phone:603-352-0165
Practice Address - Fax:603-358-3947
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0132225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist