Individual
JENNA LEEANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC, CLT
Contact information
Practice address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043
(877) 781-9565
Mailing address
17 MAYBURY CT, ARDEN, NC 28704-2940
(812) 528-0590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11660
NC
Other
Enumeration date
06/02/2012
Last updated
06/02/2012
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