Individual
THERESA DONICE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-3153
(608) 417-3130
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
429319
WI
Other
Enumeration date
07/21/2006
Last updated
08/15/2025
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