Individual
ISAAC LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1199 HAYES FOREST DR, WINSTON SALEM, NC 27106-3377
(336) 759-1044
Mailing address
1323 IRVING ST, WINSTON SALEM, NC 27103-5040
(336) 345-9282
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7257
NC
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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