Individual
MR. RANDAL W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
200 STAHLHUT DR, LINCOLN, IL 62656-5066
(217) 605-5500
(217) 732-3101
Mailing address
200 STAHLHUT DR, LINCOLN, IL 62656-5066
(217) 605-5500
(217) 732-3101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60-002812
IL
Other
Enumeration date
05/11/2007
Last updated
06/25/2012
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