Individual
JEAN SMITH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
5372B OLD VIRGINIA STREET, URBANNA, VA 23175
(804) 758-5250
(804) 758-5183
Mailing address
5372B OLD VIRGINIA STREET, URBANNA, VA 23175
(804) 758-5250
(804) 758-5183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305000705
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978137
—
VA
Enumeration date
06/20/2008
Last updated
06/20/2008
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