Individual
AMBER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9355 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5503
(904) 738-0877
Mailing address
5765 MYRTLE ST, CROZET, VA 22932-3123
(434) 409-8589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105964051001
UNITED CONCORDIA
VA
01
—
W184152688
AETNA
VA
Enumeration date
09/04/2018
Last updated
09/04/2018
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