Organization
CLEVELAND PHYSICAL THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD GLENN MILLER JR. DPT, MS, PT (OWNER)
(704) 471-0001
Entity
Organization
Contact information
Practice address
1129 E MARION ST, SHELBY, NC 28150-4843
(704) 471-0001
(704) 471-0004
Mailing address
1129 E MARION ST, SHELBY, NC 28150-4843
(704) 471-0001
(704) 471-0004
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210246
—
NC
05
—
7211359
—
NC
05
—
7211360
—
NC
05
—
7211362
—
NC
05
—
7211364
—
NC
05
—
7211706
—
NC
05
—
7301634
—
NC
01
—
NC1056
SUBMITTER ID
NC
Enumeration date
05/23/2005
Last updated
08/22/2020
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