Individual
JASON D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1508 W INNES ST, SALISBURY, NC 28144-2504
(704) 630-9656
(704) 630-9658
Mailing address
1508 W INNES ST, SALISBURY, NC 28144-2504
(704) 630-9656
(704) 630-9658
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6129
NC
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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