Shane Miller

NPI #1144330663 in Lake Mary, Florida

Provider Information

NPI Number: 1144330663
Entity Type: Individual
Name: Shane Miller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4106 W LAKE MARY BLVD STE 320
City: Lake Mary
State: Florida
ZIP Code: 32746-3344
Phone: (407) 333-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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