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Individual

MR. IRVIN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
6920 KNIGHTHOOD LN, COLUMBIA, MD 21045-4801
(410) 381-4850
(410) 381-4851
Mailing address
6920 KNIGHTHOOD LN, COLUMBIA, MD 21045-4801
(410) 381-4850
(410) 381-4851

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14080
MD

Other

Enumeration date
10/26/2006
Last updated
02/12/2009
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