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Individual

REBECCA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6422
(817) 442-9300
(817) 796-0763
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6422
(817) 442-9300
(817) 796-0763

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2103367
TX
225200000X
Physical Therapy Assistant
4052041
TX

Other

Enumeration date
06/30/2014
Last updated
07/18/2014
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