Individual
DALLAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 LIGHTWOOD ST, CAMARILLO, CA 93012-7752
(805) 758-0777
Mailing address
288 LIGHTWOOD ST, CAMARILLO, CA 93012-7752
(805) 758-0777
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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