Individual
BRIDGET MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 JOHN ST, KINGSTON, NY 12401-3809
(845) 706-8463
Mailing address
17 JOHN ST, KINGSTON, NY 12401-3809
(845) 706-8463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015576
NY
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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