Individual
AVERY E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 MARCELLA RD, HAMPTON, VA 23666-2578
(757) 825-9446
(757) 825-9476
Mailing address
304 MARCELLA RD, HAMPTON, VA 23666-2578
(757) 825-9446
(757) 825-9476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006486
VA
Other
Enumeration date
05/17/2011
Last updated
03/03/2020
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