Individual
MR. MICHAEL EUGENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, EMT
Contact information
Practice address
4655 RUFFNER ST, SUITE 270, SAN DIEGO, CA 92111-2275
(800) 787-6787
(800) 787-6762
Mailing address
PO BOX 10, HERMOSA BEACH, CA 90254-0010
(310) 968-6453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 5475
CA
Other
Enumeration date
05/14/2007
Last updated
03/09/2015
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