Individual
JOHN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84157
(801) 507-2000
Mailing address
5121 COTTONWOOD ST, MURRAY, UT 84157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7682782-2402
UT
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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