Individual
DIANA G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6540 FRANCONIA RD, SPRINGFIELD, VA 22150-1413
(703) 924-8354
Mailing address
6540 FRANCONIA RD, SPRINGFIELD, VA 22150-1413
(703) 924-8354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000903
VA
Other
Enumeration date
03/27/2007
Last updated
02/04/2015
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