Individual
MR. KEVIN ALLEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
700 HELEN ST, CLYDE, OH 43410-2051
(419) 547-9595
Mailing address
137 S MAIN ST, CLYDE, OH 43410-1632
(419) 547-8645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 008623
OH
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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