Individual
STEPHANIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
313 FURYS FERRY RD, MARTINEZ, GA 30907-3001
(706) 955-2275
Mailing address
1690 ROSE MOSS CT SE, SMYRNA, GA 30082-3969
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT015035
GA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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