Individual
JASON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2821 BRADS WAY, MIDLOTHIAN, TX 76065-7065
(972) 921-0992
Mailing address
2821 BRADS WAY, MIDLOTHIAN, TX 76065-7065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2036143
TX
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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