Individual
JOHN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
7 ELM ST, SUITE 204, ENFIELD, CT 06082-3669
(860) 741-2242
(860) 741-2248
Mailing address
7 ELM ST, SUITE 204, ENFIELD, CT 06082-3669
(860) 741-2242
(860) 741-2248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007862
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212362
—
CT
01
—
076572
GROUP MEDICARE ID#
CT
Enumeration date
04/11/2006
Last updated
08/20/2010
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