Individual
DANIEL RAY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 ISLAND AVE, SAN DIEGO, CA 92101-7000
(619) 558-5970
Mailing address
4396 WILSON AVE, SAN DIEGO, CA 92104-1523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51415
CA
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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