Individual
MEGAN LISABETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8103 E. HWY 36 #129, AVON, IN 46123
(317) 691-3667
Mailing address
3719 LANGSTON DR, INDIANAPOLIS, IN 46268-4773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
060030033A
IN
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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