Individual
DANIEL MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
7945 HARWOOD PL, SPRINGFIELD, VA 22152-1915
(585) 755-4786
Mailing address
7945 HARWOOD PL, SPRINGFIELD, VA 22152-1915
(585) 755-4786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206031
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2307000533
DIRECT ACCESS CERTIFICATION
VA
Enumeration date
07/22/2009
Last updated
10/01/2019
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