Individual
LISA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
4920 CHESTER LN UNIT 3, RACINE, WI 53402-2487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11773-24
WI
Other
Enumeration date
11/02/2011
Last updated
08/06/2014
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