Individual
DUSTIENNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
262 BEACON ST STE 5, BOSTON, MA 02116-1295
(413) 551-9394
Mailing address
262 BEACON ST STE 5, BOSTON, MA 02116-1295
(413) 551-9394
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13343
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1779725
UNITED HEALTHCARE
—
Enumeration date
10/12/2006
Last updated
05/11/2020
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