Individual
MADISON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
393 MAIN ST, FAWN GROVE, PA 17321-9514
(717) 382-4871
Mailing address
1059 WATER ST, WRIGHTSVILLE, PA 17368-9124
(717) 968-0282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2025
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