Individual
JAMIE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3001 LINCOLN DR W STE I, MARLTON, NJ 08053-1528
(856) 396-3173
Mailing address
7 LIBERTY CIR, SHAMONG, NJ 08088-8675
(609) 354-8942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01563400
NJ
2251X0800X
Orthopedic Physical Therapist
40QA01563400
NJ
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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