Individual
JUDITH DIANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
325 N. ST.PAUL, SUITE 4200, DALLAS, TX 75201-4200
(866) 217-0907
Mailing address
PO BOX 2782, RANCHOS DE TAOS, NM 87557-2782
(505) 770-0525
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
10/27/2007
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