Individual
MR. MICHAEL CHARLES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6907
SC
225X00000X
Occupational Therapist
Primary
6907
SC
225XH1200X
Hand Occupational Therapist
6907
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-2504247
TAX ID
SC
Enumeration date
11/28/2012
Last updated
11/28/2012
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