Individual
DIANNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-4736
(715) 294-1927
Mailing address
2600 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-4736
(715) 294-1927
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1833-19
WI
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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