Organization
DOUGLAS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R MILLER PT (PRESIDENT OWNER)
(912) 384-4813
Entity
Organization
Contact information
Practice address
1909 PINE FOREST DR, DOUGLAS, GA 31533
(912) 384-4813
Mailing address
PO BOX 365, DOUGLAS, GA 31534-0365
(912) 384-4813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972250981A
—
GA
Enumeration date
08/30/2006
Last updated
03/08/2019
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