Individual
MRS. ELENA MARIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
581 ZACHARY LN, JACKSON, TN 38305-5679
(731) 664-7973
Mailing address
581 ZACHARY LN, JACKSON, TN 38305-5679
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT 4033
TN
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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