Individual
MRS. LAURA ANNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
3405 DALLAS HWY SW, SUITE 601, MARIETTA, GA 30064-6425
(770) 438-5226
(770) 794-4766
Mailing address
80 TECHNACENTER DR, SUITE 300, MONTGOMERY, AL 36117-6028
(334) 625-5795
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01495825
MEDICARE RR
GA
Enumeration date
05/24/2007
Last updated
03/16/2016
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