Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3100 OLYMPUS BLVD STE 500, COPPELL, TX 75019-5473
(800) 521-5060
Mailing address
14935 PRICKLY PEAR CV, MAGNOLIA, TX 77354-7178
(832) 955-6856
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2139156
TX
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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