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Individual
SHANE MILLER
Active
Individual
SHANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA11468
LICENSE #
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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