Individual
MARIA IPO-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1614 N BALDWIN AVE, MARION, IN 46952-1437
(877) 603-3195
Mailing address
2402 N WABASH RD, MARION, IN 46952-1115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009867A
IN
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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