MR. Randal W Miller, P.T.A

NPI #1114132214 in Lincoln, Illinois

Provider Information

NPI Number: 1114132214
Entity Type: Individual
Name: MR. Randal W Miller, P.T.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A
Enumeration Date: May 11, 2007
Last Updated: Jun 25, 2012

Practice Location

Address: 200 STAHLHUT DR
City: Lincoln
State: Illinois
ZIP Code: 62656-5066
Phone: (217) 605-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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