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Individual

HOLLY MICHELLE FORSTER MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1201 TERRY AVE, SEATTLE, WA 98101-2735
(206) 223-7528
(206) 223-7577
Mailing address
1201 TERRY AVE, SEATTLE, WA 98101-2735
(206) 223-7528
(206) 223-7577

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008343
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
069741
GROUP HEALTH # VM
WA
01
157609
DEPT OF L&I
WA
01
2192FO
REGENCE BS
WA
01
650024223
R/R MED PIERCE CNTY
WA
01
650025726
R/R MEDICARE
WA
05
8342636
WA
01
8936256
CRIME VICTIMS
WA
01
9058FO
BLUE SHIELD # VM
WA
01
US7533340
AETNA PCP PIN VM
WA
Enumeration date
08/18/2005
Last updated
04/27/2015
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