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Individual

MRS. CORRY LYNN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
70 PROSPECT AVE, CHARLES TOWN, WV 25414-1170
(304) 724-1101
Mailing address
96 GENERAL MCCLELLAN CT, HARPERS FERRY, WV 25425-3124
(304) 724-1101

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001003
WV
225200000X
Physical Therapy Assistant
2306601557
VA

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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