Individual
GINA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 BROAD RUN RD, LOUISVILLE, KY 40291-3712
(502) 939-7548
Mailing address
7500 BROAD RUN RD, LOUISVILLE, KY 40291-3712
(502) 939-7548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001301
KY
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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