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Individual

JENNIFER ROSE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1517 N HOWE ST, SOUTHPORT, NC 28461-2772
(984) 317-5641
Mailing address
675 ATLANTA AVE SE, ATLANTA, GA 30312-3637
(770) 542-7581

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP033423T
SC
2251X0800X
Orthopedic Physical Therapist
Primary
CP039045T
TX

Other

Enumeration date
08/08/2024
Last updated
02/18/2026
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