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NPI Code Detail

MEDICARE: AMY LOUISE MILLER P.T

MEDICARE:   AMY LOUISE MILLER  P.T
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
1261QP2000XPhysical Therapy Clinic/CenterPT 9500CA

General Provider Information

NPI Number : 1598788713
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LOUISE MILLER P.T
Provider Business Mailing Address
First Line : 760 N EUCLID ST
Second Line : SUITE 105
City : ANAHEIM
State : CA
Zip : 92801-4133
Country : US
Telephone Number : 714-535-7700
Fax Number : 714-535-5445
Provider Business Practice Location Address
First Line : 760 N EUCLID ST
Second Line : SUITE 105
City : ANAHEIM
State : CA
Zip : 92801-4133
Country : US
Telephone Number : 714-535-7700
Fax Number : 714-535-5445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ AMY LOUISE MILLER P.T” Practice Location

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