| Doctor Name: | SANDRA L MILLER |
| NPI Number: | 1780924324 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 40QA00820900 |
| Business Practice Address: | 14 Bridgewaters Dr Suite A Oceanport, NJ - 077571162 |
| Business Phone Number: | 7325426600 |
| Business Fax Number: | 7325426606 |
| Mailing Address: | 7 Horicon Dr, OCEAN |
| State: | NJ |
| Postal Code: | 077123316 |
| Phone Number: | 7324934223 |
| Fax Number: | |
| NPI Enumeration Date: | 02/19/2013 |
| NPI Last Update Date: | 02/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 40QA00820900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |