Organization
MILLER PHYSICAL THERAPY INC
Active
Organization
MILLER PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILVAN MATTHEW MILLER P.T. (OWNER)
(318) 487-0211
Entity
Organization
Contact information
Practice address
3912 PARLIAMENT DR, ALEXANDRIA, LA 71303-3015
(318) 487-0211
(318) 445-6697
Mailing address
3912 PARLIAMENT DR, ALEXANDRIA, LA 71303-3015
(318) 487-0211
(318) 445-6697
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
368814
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3524
BC/BS-LA CLINIC PROV #
LA
Enumeration date
02/17/2006
Last updated
07/16/2014
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