MEDICARE: MEGAN MILLER PT

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
1	225100000X	Physical Therapist	021503-1	NY

General Provider Information

NPI Number	:	1255310769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MILLER PT

Provider Business Mailing Address
First Line	:	81 MILLER RD 400
Second Line	:
City	:	CASTLETON ON HUDSON
State	:	NY
Zip	:	12033-4036
Country	:	US
Telephone Number	:	518-915-1452
Fax Number	:	518-729-3181

Provider Business Practice Location Address
First Line	:	81 MILLER RD 400
Second Line	:
City	:	CASTLETON ON HUDSON
State	:	NY
Zip	:	12033-4036
Country	:	US
Telephone Number	:	518-915-1452
Fax Number	:	518-729-3181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/23/2015

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Directions to “ MEGAN MILLER PT” Practice Location

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