Individual
SAMUEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 ASTORIA RD, GERMANTOWN, OH 45327-1712
(937) 855-2363
Mailing address
300 ASTORIA RD, GERMANTOWN, OH 45327-1712
(937) 855-2363
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA010714
OH
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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