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Individual

MR. JOHN F MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
12409 AVON LAKE CIR, MIDLOTHIAN, VA 23114-7143
(804) 594-0468
(804) 594-0469
Mailing address
12409 AVON LAKE CIR, MIDLOTHIAN, VA 23114-7143
(804) 594-0468
(804) 594-0469

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203837
VA
225100000X
Physical Therapist
5096-024
WI
225100000X
Physical Therapist
5501004325
MI
376G00000X
Nursing Home Administrator
4801004349
MI

Other

Enumeration date
07/23/2007
Last updated
07/23/2007
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