Individual
BENSON SLADE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2065 GRAYSON HWY STE B, GRAYSON, GA 30017-1766
(678) 376-0213
Mailing address
3963 CREST LAKE DR, SOUTHSIDE, AL 35907-0549
(256) 485-3637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2073163
TX
225200000X
Physical Therapy Assistant
21588
FL
225200000X
Physical Therapy Assistant
5101
AL
225200000X
Physical Therapy Assistant
Primary
PTA004224
GA
Other
Enumeration date
10/20/2009
Last updated
06/16/2022
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