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NPI Code Detail

MEDICARE: SARA MILLER

MEDICARE:   SARA  MILLER
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 Assistant2161CT

General Provider Information

NPI Number : 1871169466
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA MILLER
Provider Business Mailing Address
First Line : 22 TOMPKINS ST
Second Line :
City : WATERBURY
State : CT
Zip : 06708-1458
Country : US
Telephone Number : 203-419-0381
Fax Number :
Provider Business Practice Location Address
First Line : 365 MAIN ST
Second Line :
City : WATERTOWN
State : CT
Zip : 06795-2249
Country : US
Telephone Number : 475-207-9244
Fax Number : 860-417-3050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2021
Last Update Date : 06/03/2021

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Directions to “ SARA MILLER ” Practice Location

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