Individual
MRS. AMANDA LEIGH MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
1299 OLD ECCLES RD, BECKLEY, WV 25801-8816
(304) 252-2121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1091
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1091
PTA LICENSE
WV
Enumeration date
05/04/2006
Last updated
07/08/2007
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