Individual
LOUIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2918 NE 8TH TER APT 103, WILTON MANORS, FL 33334-2678
(630) 404-5664
Mailing address
2918 NE 8TH TER APT 103, WILTON MANORS, FL 33334-2678
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25814
FL
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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