Doctor Name: | JESSICA C MILLER |
NPI Number: | 1144576158 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT-022187 |
Business Practice Address: | 3201 Cheltenham Avenue Wyncote, PA - 19095 |
Business Phone Number: | 2155177551 |
Business Fax Number: | 2155177549 |
Mailing Address: | 276 Green Ln, PHILADELPHIA |
State: | PA |
Postal Code: | 191284722 |
Phone Number: | 2158729496 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2012 |
NPI Last Update Date: | 07/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-022187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |