Individual
MRS. ANDREA LYNN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 E NELSON RD, MOSES LAKE, WA 98837-2360
(509) 765-6788
(509) 766-6757
Mailing address
9327 CASTLEWOOD DR SE, MOSES LAKE, WA 98837-8573
(253) 720-7804
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160039495
WA
Other
Enumeration date
01/06/2013
Last updated
01/06/2013
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