Individual
ADDIE R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
504 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7405
(434) 817-7848
(434) 951-2194
Mailing address
PO BOX 1583, CHARLOTTESVILLE, VA 22902-1583
(434) 654-7794
(434) 654-7752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205992
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00956086
MEDICARE RAILROAD
VA
Enumeration date
07/24/2008
Last updated
09/28/2011
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