Individual
CARLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
99 KINDERKAMACK RD STE 100, WESTWOOD, NJ 07675-3012
(201) 383-0826
Mailing address
15 ATHENIA AVE, CLIFTON, NJ 07013-2613
(908) 399-8854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01486800
NJ
2251N0400X
Neurology Physical Therapist
40QA01486800
NJ
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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