Individual
SANDRA LEE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
132 COPPA CT, FOUNTAIN INN, SC 29644-9512
(614) 370-4444
Mailing address
132 COPPA CT, FOUNTAIN INN, SC 29644-9512
(614) 370-4444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
Primary
12408
SC
225100000X
Physical Therapist
31207
FL
Other
Enumeration date
07/20/2008
Last updated
07/30/2024
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