Healthcare Provider Details

I. General information

NPI: 1730302456
Provider Name (Legal Business Name): CYNTHIA MILES & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3721 CRESCENT CT W
WHITEHALL PA
18052-3446
US

IV. Provider business mailing address

3721 CRESCENT CT W
WHITEHALL PA
18052-3446
US

V. Phone/Fax

Practice location:
  • Phone: 610-820-7667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRAN SCHLOFER
Title or Position: INSURANCE COORDINATOR
Credential:
Phone: 610-820-7667