Individual
DR. KRISANE MILLER AUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CFMM, ATC
Contact information
Practice address
870 N MILITARY HWY, SUITE 224, NORFOLK, VA 23502-3638
(757) 777-4565
Mailing address
870 N MILITARY HWY, SUITE 224, NORFOLK, VA 23502-3638
(757) 777-4565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005493
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710177134
—
VA
01
—
192967
BCBS (PHYSICAL THERAPY)
VA
Enumeration date
08/01/2007
Last updated
07/20/2020
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