Individual
MS. JENNIFER EILEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1423 W CENTRE AVE, PORTAGE, MI 49024-5351
(269) 323-4300
(269) 323-4449
Mailing address
1846 OAKLAND DR, APT # 2, KALAMAZOO, MI 49008-1869
(269) 547-8670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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