Individual
WILVAN M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3912 PARLIAMENT DR, ALEXANDRIA, LA 71303-3015
(318) 487-0211
(318) 445-6697
Mailing address
3912 PARLIAMENT DR, ALEXANDRIA, LA 71303-3015
(318) 487-0211
(318) 445-6697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00607
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6400015
UNITED HEALTHCARE
LA
01
—
C3525
BC/BS-LA INDIV PROV #
LA
Enumeration date
02/21/2006
Last updated
08/31/2010
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