Individual
JAMES RUSSELL MILLER
Active
Individual
JAMES RUSSELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
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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