Individual
NATHAN PAUL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3978 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 373-9318
(260) 373-9301
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012186A
IN
Other
Enumeration date
08/05/2016
Last updated
01/26/2022
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