# MR. MATTHEW CHARLES MILLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487763256
- **Gender:** Man
- **Credential:** MPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA00971300 | NJ | Yes |
| 225100000X | Physical Therapist | — | NULL | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 03/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 40QA00971300 | LICENSE\# | NJ |