Individual
MRS. AMANDA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
187 MILLBURN AVE STE 110, MILLBURN, NJ 07041-1845
(973) 467-7976
Mailing address
51 SHADY LN, FANWOOD, NJ 07023-1750
(908) 347-2243
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01359300
NJ
Other
Enumeration date
08/04/2010
Last updated
06/03/2015
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