Individual
MRS. CAROLYN ELIZABETH GHEZZI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
8935 PATTERSON AVE, HENRICO, VA 23229-6323
(804) 754-0136
Mailing address
12572 VALLEY VIEW ST, GARDEN GROVE, CA 92845-2006
(714) 823-4400
(714) 823-4404
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
0105005155
VA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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