Individual
DERRICK JAMES MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
205 E KINGS HWY, EDEN, NC 27288-5239
(336) 623-9712
Mailing address
205 E KINGS HWY, EDEN, NC 27288-5239
(336) 623-9712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5863
NC
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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