Individual
JESSICA RUTH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
311 MAPLETON AVE, BOULDER, CO 80304-3979
(303) 441-2209
(303) 441-0536
Mailing address
311 MAPLETON AVE, BOULDER, CO 80304-3979
(303) 441-2209
(303) 441-0536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-7872
CO
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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