Doctor Name: | MR. JEFF PAUL MILLER |
NPI Number: | 1841412095 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT 24124 |
Business Practice Address: | 902 W Grand Ave Grover Beach, CA - 934332136 |
Business Phone Number: | 8054730555 |
Business Fax Number: | 8885729170 |
Mailing Address: | 460 S 13th St, GROVER BEACH |
State: | CA |
Postal Code: | 934332535 |
Phone Number: | 8054730555 |
Fax Number: | 8885729170 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 08/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 24124 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |