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NPI Code Detail

MEDICARE: DR. ANDREW MILLER DPT

MEDICARE:  DR. ANDREW  MILLER  DPT
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
1225100000XPhysical Therapist9782CT
2225100000XPhysical TherapistPT020686PA

General Provider Information

NPI Number : 1972818896
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW MILLER DPT
Provider Business Mailing Address
First Line : 511 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-3230
Country : US
Telephone Number : 215-923-6031
Fax Number :
Provider Business Practice Location Address
First Line : 511 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-3230
Country : US
Telephone Number : 215-923-6031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2010
Last Update Date : 05/21/2026

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Directions to “ DR. ANDREW MILLER DPT” Practice Location

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