Individual
LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1600 FOREST AVE, PORTLAND, ME 04103-1314
(207) 874-8210
Mailing address
353 CUMBERLAND AVE, PORTLAND, ME 04101-2957
(207) 874-4100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3822
GA
225100000X
Physical Therapist
Primary
4003
ME
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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