Individual
BETHANY MICHELE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W FULLERTON AVE, CHICAGO, IL 60614-2600
(513) 582-2989
Mailing address
2335 W FARWELL AVE APT 1S, CHICAGO, IL 60645-4764
(513) 582-2989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009705
IL
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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