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Individual

MISS CAMI LEE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
729 PARK ST, ANTIGO, WI 54409-2745
(715) 623-2356
Mailing address
729 PARK ST, ANTIGO, WI 54409-2745
(715) 623-2356

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1703-019
WI

Other

Enumeration date
04/16/2012
Last updated
04/16/2012
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