Individual
TRACY ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 879-4471
Mailing address
80 S PARK AVE, MERTZTOWN, PA 19539-9001
(610) 641-1039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005479L
PA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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