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NPI Code Detail

MEDICARE: DELORES MARIE MILLER PTA

MEDICARE: DELORES MARIE MILLER PTA
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
1225200000XPhysical Therapy AssistantTE000817LPA

General Provider Information

NPI Number : 1245356047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELORES MARIE MILLER PTA
Provider Business Mailing Address
First Line : 3324 RIDGEWAY ST
Second Line :
City : READING
State : PA
Zip : 19605-2651
Country : US
Telephone Number : 610-939-9128
Fax Number :
Provider Business Practice Location Address
First Line : 2499 ZERBE RD
Second Line :
City : NARVON
State : PA
Zip : 17555-9328
Country : US
Telephone Number : 717-445-8234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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Directions to “ DELORES MARIE MILLER PTA” Practice Location

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