Individual
ERICA JACLYN MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
269 BLUE VALLEY DR, BANGOR, PA 18013-1512
(610) 588-3284
(610) 588-3877
Mailing address
421 S BEST AVE, WALNUTPORT, PA 18088-1217
(610) 760-1520
(610) 760-1721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01160700
NJ
225100000X
Physical Therapist
Primary
PT013876L
PA
Other
Enumeration date
07/01/2005
Last updated
07/08/2007
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