Individual
HEIDI R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8117 CENTER RUN DR, INDIANAPOLIS, IN 46250-1945
(317) 570-9205
(317) 570-9206
Mailing address
364 ATHERTON DR, CARMEL, IN 46032-2093
(317) 844-7394
(317) 570-9206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350404
ANTHEM BCBS
IL
Enumeration date
03/14/2007
Last updated
07/08/2007
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