Individual
AUDREY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
(864) 984-6584
(864) 984-6464
Mailing address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
(864) 984-6584
(864) 984-6464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9852
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9852
SOUTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS
SC
Enumeration date
09/09/2019
Last updated
08/08/2024
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