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Individual

MRS. THERESA KIERNAN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/CHT

Contact information

Practice address
3787 SHIPYARD BLVD, PHYSICAL THERAPY, WILMINGTON, NC 28403-6148
(910) 341-2444
(910) 332-1519
Mailing address
3787 SHIPYARD BLVD, PHYSICAL THERAPY, WILMINGTON, NC 28403-6148
(910) 341-2444
(910) 332-1519

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
3109
FL
225XH1200X
Hand Occupational Therapist
Primary
6815
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3109
OCCUPATIONAL THERAPY LICE
FL
01
6815
OCCUPATIONAL THERAPY LICENSE
NC
Enumeration date
10/04/2006
Last updated
05/06/2008
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