Individual
BRENDA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,OCS
Contact information
Practice address
1901 S MAIN ST STE 8, BLACKSBURG, VA 24060-6628
(540) 315-3000
(540) 739-3692
Mailing address
1901 S MAIN ST STE 8, BLACKSBURG, VA 24060-6628
(540) 315-3000
(540) 739-3692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19557
MD
261QP2000X
Physical Therapy Clinic/Center
Primary
2305003472
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356798565
ANTHEM, HEALTHKEEPERS, OPTUM, CIGNA, HUMANA, TRICARE, UHC, VIRGINIA PREMIER
—
Enumeration date
02/01/2007
Last updated
04/03/2018
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