Doctor Name: | DUSTIENNE MILLER |
NPI Number: | 1144310210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 028517-1 |
Business Practice Address: | 95 Montgomery Dr Suite 90 Santa Rosa, CA - 954046630 |
Business Phone Number: | 7079687378 |
Business Fax Number: | |
Mailing Address: | 95 Montgomery Drive, Suite 90 SANTA ROSA |
State: | CA |
Postal Code: | 95404 |
Phone Number: | 7079687378 |
Fax Number: | 7075811857 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 028517-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |