Individual
MRS. AMANDA DELOACH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1958 OLD OCILLA RD, TIFTON, GA 31794-1645
(229) 386-0421
Mailing address
1704 FREDERICA RD APT 231, SAINT SIMONS ISLAND, GA 31522-2552
(229) 251-2336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009005
GA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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