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NPI Code Detail

MEDICARE: MILLER PHYSICAL THERAPY AT HOME

MEDICARE: MILLER PHYSICAL THERAPY AT HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1174096135
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLER PHYSICAL THERAPY AT HOME
Provider Business Mailing Address
First Line : 247 SE 6TH AVE STE 2
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5208
Country : US
Telephone Number : 561-278-6055
Fax Number : 561-278-6670
Provider Business Practice Location Address
First Line : 247 SE 6TH AVE STE 2
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5208
Country : US
Telephone Number : 561-278-6055
Fax Number : 561-278-6670
Authorized Official
Title or Position : OWNER
Name : MR. SCOTT EVAN MILLER
Credential : MPT
Telephone Number : 561-278-6055
Provider Enumeration Date : 01/02/2019
Last Update Date : 01/02/2019

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Directions to “MILLER PHYSICAL THERAPY AT HOME ” Practice Location

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