Individual
MRS. GLENDA GAIL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
819 KENTUCKY AVE, WINDSOR, IL 61957-1623
(217) 459-2277
Mailing address
819 KENTUCKY AVE, WINDSOR, IL 61957-1623
(217) 459-2277
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000778
IL
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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