Individual
LEE G MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13899 OAK LEAF WAY, RANCHO CUCAMONGA, CA 91739-2257
(951) 850-5904
Mailing address
13899 OAK LEAF WAY, RANCHO CUCAMONGA, CA 91739-2257
(951) 850-5904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT544
CA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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