Individual
LAURA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 STAHLHUT DR, LINCOLN, IL 62656-5066
(217) 605-5508
Mailing address
106 OGLESBY AVE, LINCOLN, IL 62656-1550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
06/15/2012
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