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Individual

AMY JO MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1703 W PHILLIP AVE, NORFOLK, NE 68701-4737
(402) 644-2561
Mailing address
1703 W PHILLIP AVE, NORFOLK, NE 68701-4737
(402) 644-2561

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
557
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47076631813
NE
Enumeration date
11/29/2006
Last updated
04/05/2022
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