Organization
SOUTHSHORE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MILLER PT (OWNER)
(701) 891-2043
Entity
Organization
Contact information
Practice address
104 12TH AVE NW UNIT 5, HAZEN, ND 58545-4106
(701) 891-2043
Mailing address
104 12TH AVE NW UNIT 5, HAZEN, ND 58545-4106
(701) 891-2043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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