Michael Miller PT

NPI 1619174828 - Physical Therapist - 225100000X

NPI Details
NPI 1619174828
Gender Male
Enumeration Date 06/29/2007
Last Updated 03/04/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
886 MAGNOLIA AVE
SUITE 100
CORONA CA, 92879-3105, US
Phone (951) 340-3402
Fax (951) 340-3416
Business Location
24630 WASHINGTON AVE
SUITE 200
MURRIETA CA, 92562-6177, US
Phone (951) 696-9353
Fax (951) 973-7216
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT17558
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According to our database, Michael Miller PT NPI is 1619174828, taxonomy code is 225100000X and license number is PT17558, license state is located at California. Michael Miller PT physically located at 886 Magnolia Ave, Corona CA, 92879-3105. NPI Number Michael Miller PT has the Individual type.

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1619174828 NPI number is provided on an as is basis without warranty of any kind. 1619174828 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Miller PT are for informational purposes only.