Individual
LEE ELLIOTT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
20 CROSSROADS DR STE 13, OWINGS MILLS, MD 21117-5479
(410) 363-0015
(410) 356-7763
Mailing address
2 E ROLLING XRDS STE 57, CATONSVILLE, MD 21228-6212
(443) 860-9168
(443) 636-5987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14756
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373628800
—
MD
01
—
E705-0001
FEDERAL BLUECROSS/SHIELD
MD
01
—
LV17
CAREFIRST BLUECROSS/SHIEL
MD
Enumeration date
05/05/2006
Last updated
10/14/2021
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