Individual
BRENT L. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9720 S 1300 E, #W200, SANDY, UT 84094
(801) 572-0690
(801) 572-0690
Mailing address
9720 S 1300 E, #W200, SANDY, UT 84094
(801) 572-0690
(801) 572-0696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
373121-2401
UT
Other
Enumeration date
12/29/2005
Last updated
06/11/2010
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