Healthcare Provider Details

I. General information

NPI: 1174309009
Provider Name (Legal Business Name): JULIA ELIZABETH MILLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA ELIZABETH SELTZER DPT

II. Dates (important events)

Enumeration Date: 09/06/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5160 OCEAN HWY W
SHALLOTTE NC
28470-4012
US

IV. Provider business mailing address

PO BOX 5105
BELFAST ME
04915-5100
US

V. Phone/Fax

Practice location:
  • Phone: 910-332-3800
  • Fax: 910-251-0421
Mailing address:
  • Phone: 910-332-3800
  • Fax: 910-251-0421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT61660448
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1387411
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-033863
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP22680
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT031573
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19983
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: