Individual
CHARLES R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
357 REGENCY RIDGE DR, CENTERVILLE, OH 45459-4252
(937) 436-2233
(937) 291-5530
Mailing address
1399 TIMBER RIDGE CT, WAYNESVILLE, OH 45068-9502
(937) 885-9425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT04238
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT04238
OHIO LICENSE
OH
Enumeration date
03/02/2007
Last updated
07/08/2007
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