Individual
DIANA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
1950 45TH AVE STE 200, MUNSTER, IN 46321-3958
(219) 924-7316
Mailing address
1950 45TH AVE STE 200, MUNSTER, IN 46321-3958
(219) 924-7316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001717A
IN
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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