Individual
MRS. DEBRA IWATA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2808 S 143RD PLZ, OMAHA, NE 68144-5611
(402) 637-0698
Mailing address
6163 S 181ST ST, OMAHA, NE 68135-1746
(405) 865-6433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1104
NE
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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