Individual
KATHRYN E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
34 DALE RD, STE 203, AVON, CT 06001-3659
(860) 678-8655
Mailing address
563 GOFF RD, WETHERSFIELD, CT 06109-2425
(860) 678-8655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007433
LICENSE #
CT
Enumeration date
08/30/2006
Last updated
09/24/2008
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