Individual
KELLI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 S MAIN ST, NEW LEXINGTON, OH 43764-1552
(740) 342-5161
Mailing address
685 MAIN STREET, WATERFORD, OH 45786-0272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08805
OH
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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