Individual
MR. TODD RANDALL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(541) 773-7717
Mailing address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(541) 773-7717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4967
OR
Other
Enumeration date
09/02/2011
Last updated
12/14/2012
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