Individual
RENEE LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4180 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(651) 241-1455
Mailing address
4180 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MN
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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