Doctor Name: | MR. DOUGLAS A. MILLER |
NPI Number: | 1073788857 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 11577 |
Business Practice Address: | 1717 Shipyard Blvd Ste 320 Wilmington, NC - 284038023 |
Business Phone Number: | 9107910396 |
Business Fax Number: | 9107190818 |
Mailing Address: | 1717 Shipyard Blvd, Ste 320 WILMINGTON |
State: | NC |
Postal Code: | 284038023 |
Phone Number: | 9107910396 |
Fax Number: | 9107910818 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 09/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |