Individual
C MAXWELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 DUNNING RD, MIDDLETOWN, NY 10940-2243
(845) 343-0801
Mailing address
700 NORTHWOODS RD APT A, MIDDLETOWN, NY 10940-2351
(845) 527-2197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013540-01
NY
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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