MS. Lori Soule Miller, MSPT, ATC/L, CSCS

NPI #1396058681 in Venice, Florida

Provider Information

NPI Number: 1396058681
Entity Type: Individual
Name: MS. Lori Soule Miller, MSPT, ATC/L, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT, ATC/L, CSCS
Enumeration Date: Jul 15, 2010
Last Updated: Jul 15, 2010

Practice Location

Address: 836 SUNSET LAKE BLVD STE 201
City: Venice
State: Florida
ZIP Code: 34292-7556
Phone: (941) 497-1737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Physical Therapist	225100000X	Primary

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