Individual
MELISSA JANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
420 S DETROIT ST, LAGRANGE, IN 46761-2310
(260) 463-2831
Mailing address
24063 CAMEO CT, ELKHART, IN 46516-5633
(574) 215-0540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004326A
IN
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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