Individual
MR. JOHN RICHARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
73 W 5TH ST, LAKE VIEW, IA 51450-7312
(712) 657-3100
Mailing address
2495 PIONEER AVE, ARTHUR, IA 51431-8025
(712) 367-2276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01073
IA
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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