Individual
MS. MARCIA LOU MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT CHT
Contact information
Practice address
156 STRAWBERRY PLAINS RD STE B, WILLIAMSBURG, VA 23188-3409
(757) 565-3400
(757) 565-6445
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002620
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192939
BCBS PHYSICAL THERAPY
VA
01
—
5366634
AETNA
—
01
—
650016244
RAILROAD MEDICARE
VA
05
—
8928631
—
VA
Enumeration date
04/04/2006
Last updated
05/28/2020
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