Individual
LAURIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
25275 LOTEN WAY, VENETA, OR 97487-9425
(541) 554-4231
Mailing address
25564 HUNTER RD, VENETA, OR 97487-9646
(541) 729-7038
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
20364
OR
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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