Individual
MRS. REBECCA ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7540 N 19TH AVE, 200, PHOENIX, AZ 85021-7967
(888) 873-4221
(888) 543-2289
Mailing address
PO BOX 499, MANSFIELD, MO 65704-0499
(417) 924-9486
(417) 935-2130
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2003029290
MO
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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