Individual
MRS. COLLEEN LYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 559-6082
Mailing address
W6461 COUNTY C, MONTICELLO, WI 53570
(608) 938-1669
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1347-19
WI
225200000X
Physical Therapy Assistant
Primary
160
IL
Other
Enumeration date
01/04/2007
Last updated
11/02/2024
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