Individual
CHANDRA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(802) 522-5967
Mailing address
PO BOX 210, PLAINFIELD, VT 05667-0210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0000436
VT
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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