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Individual

BRIAN L MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, MS

Contact information

Practice address
175 COMMONS LOOP, SUITE 100, KALISPELL, MT 59901-1904
(406) 752-7250
(406) 752-6250
Mailing address
175 COMMONS LOOP, SUITE 100, KALISPELL, MT 59901-1904
(406) 752-7250
(406) 752-6250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1424PT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0179530
MT
Enumeration date
10/14/2005
Last updated
02/13/2012
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