Organization
LEE MILLER REHABILITATION ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE DENISE CHRISTIAN (PRACTICE MANAGER)
(443) 860-9168
Entity
Organization
Contact information
Practice address
20 CROSSROADS DR STE 13, OWINGS MILLS, MD 21117-5479
(410) 363-0015
(410) 356-7763
Mailing address
PO BOX 15031, PIKESVILLE, MD 21282-5031
(443) 860-9168
(443) 636-5987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373628800
—
MD
01
—
AP12
BLUE CHOICE
MD
01
—
CCQ4LE
BLUE CROSS BLUE SHIELD
MD
Enumeration date
05/08/2007
Last updated
11/01/2024
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