Individual
PAULA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 GATEWAY DR STE 300, BEAVER DAM, WI 53916-9176
(920) 356-0122
Mailing address
201 GATEWAY DR STE 300, BEAVER DAM, WI 53916-9176
(920) 356-0122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2897-19
WI
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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