Individual
JODI J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8303 N 50TH ST, BROWN DEER, WI 53223-3607
(414) 659-7447
Mailing address
8303 N 50TH ST, BROWN DEER, WI 53223-3607
(414) 659-7447
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
854
WI
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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