Individual
JACQUELINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-1198
(479) 967-1178
Mailing address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-1198
(479) 967-1178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1108
AR
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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