Individual
LAURA J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1278 MCALLISTAR DR, LOCUST GROVE, GA 30248-2480
(678) 758-5753
Mailing address
1278 MCALLISTAR DR, LOCUST GROVE, GA 30248-2480
(678) 758-5753
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT007508
GA
Other
Enumeration date
01/24/2007
Last updated
04/20/2020
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