Individual
MRS. KELLY J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1119 WESTWOOD DRIVE, SUITE C, VAN WERT, OH 45891-1473
(888) 557-1200
(419) 238-3612
Mailing address
21498 WREN LANDECK ROAD, VENEDOCIA, OH 45894-9523
(419) 692-0158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009124
OH
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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