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Individual

LISA MARIE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1012 W MACARTHUR AVE, ODESSA, TX 79763-3341
(432) 334-0900
(432) 590-2609
Mailing address
3913 MONCLAIR AVE, ODESSA, TX 79762-7206
(432) 741-5527

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2150086
TX

Other

Enumeration date
08/09/2019
Last updated
08/09/2019
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