Individual
STEPHAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 LA POSADA DR STE 308, AUSTIN, TX 78752-3824
(512) 284-7192
Mailing address
1033 LA POSADA DR STE 308, AUSTIN, TX 78752-3824
(512) 284-7192
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1267816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1267816
PT LICENSE
TX
Enumeration date
01/05/2016
Last updated
01/05/2016
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