Individual
SUSAN DOROTHY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MS, OCS
Contact information
Practice address
FADDEN & ASSOCIATES PHYSICAL THERAPY, PLLC, 242 PORT WATSON STREET, CORTLAND, NY 13045
(607) 758-7212
(607) 758-3416
Mailing address
4468 STATE ROUTE 281, CORTLAND, NY 13045-8893
(607) 756-7375
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
003252-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4123844
MVP
NY
01
—
5507146
AETNA US HEALTHCARE
NY
Enumeration date
01/18/2007
Last updated
07/08/2007
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