Individual
WADE O MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1397A WEIMER ROAD, TAOS, NM 87571
(505) 737-0304
Mailing address
1397A WEIMER ROAD, PO BOX DD, TAOS, NM 87571
(505) 737-0304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1793
NM
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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