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Individual

MICHELLE DAWN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
70 MARSHALL AVE, WILLISTON, VT 05495
(802) 878-6656
(802) 878-6099
Mailing address
PO BOX 693, WILLISTON, VT 05495
(802) 878-6656
(802) 878-6099

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003681
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OVN2233
VT
Enumeration date
11/27/2006
Last updated
07/08/2007
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