Individual
BRENDAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
925 CHESTNUT ST FL 5, PHILADELPHIA, PA 19107-4206
(800) 321-9999
Mailing address
1146 E WOODLAWN AVE, PHILADELPHIA, PA 19138-1838
(717) 649-2726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
12/04/2019
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