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Individual

GENNI LEE MILLER

Active
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Individual

GENNI LEE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC, PTA

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT1256
TX
225200000X
Physical Therapy Assistant
2076630
TX

Other

Enumeration date
06/09/2021
Last updated
06/09/2021
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