Individual
JONATHAN PATRICK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5500 AUTO CLUB DR, DEARBORN, MI 48126-2779
(313) 982-8266
Mailing address
3429 RAVENA AVE, ROYAL OAK, MI 48073-2139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018544
MI
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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