Individual
JILL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 S STATE ST, SUITE 7, DOVER, DE 19901-6932
(302) 734-0100
(302) 734-0101
Mailing address
1255 S STATE ST, SUITE 7, DOVER, DE 19901-6932
(302) 734-0100
(302) 734-0101
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
J1-0002040
DE
2251X0800X
Orthopedic Physical Therapist
Primary
J1-0002040
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7989696
AETNA
DE
Enumeration date
06/21/2006
Last updated
06/21/2016
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