Organization
CUSTOM PHYSICAL THERAPY AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN E MILLER DPT, OCS (OWNER)
(563) 505-4524
Entity
Organization
Contact information
Practice address
102 HIDDEN PASTURES DR STE 106, CRAMERTON, NC 28032-1697
(563) 505-4524
Mailing address
102 HIDDEN PASTURES DR STE 106, CRAMERTON, NC 28032-1697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
09/04/2024
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