Individual
MS. DAWN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC, MHA
Contact information
Practice address
7749 NORMADY CROSSING, SUITE 147, JACKSONVILLE, FL 32221
(904) 786-5576
Mailing address
12204 REEDPOND CT, JACKSONVILLE, FL 32223-4824
(904) 379-3128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 18765
LICENSE #
FL
Enumeration date
08/29/2006
Last updated
01/07/2013
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