Provider Demographics
NPI:1144342882
Name:KIERNAN, MONICA THERESA (PT PHYSICAL THERAPIS)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:THERESA
Last Name:KIERNAN
Suffix:
Gender:F
Credentials:PT PHYSICAL THERAPIS
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:THERESA
Other - Last Name:SAUTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT PHYSICAL THERAPIS
Mailing Address - Street 1:5 GEORGE STREET
Mailing Address - Street 2:SOUTHERN NEW HAMPSHIRE REHAB CENTER
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-4441
Mailing Address - Country:US
Mailing Address - Phone:603-880-1434
Mailing Address - Fax:
Practice Address - Street 1:5 GEORGE STREET
Practice Address - Street 2:SOUTHERN NEW HAMPSHIRE REHAB CENTER
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-4441
Practice Address - Country:US
Practice Address - Phone:603-598-0729
Practice Address - Fax:603-598-0864
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2615225100000X
MA9353225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist