Individual
JAMES RUSSELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4831 S LABURNUM AVE, RICHMOND, VA 23231-2713
(804) 222-0745
(804) 222-0748
Mailing address
771 PILOT HOUSE DR, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203840
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467540385
—
VA
01
—
342327
BCBS (PHYSICAL THERAPY)
VA
Enumeration date
10/10/2006
Last updated
04/07/2011
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