Gina Marie Miller

NPI #1447522008 in Meridian, Idaho

Provider Information

NPI Number: 1447522008
Entity Type: Individual
Name: Gina Marie Miller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Practitioner
Enumeration Date: Jan 29, 2012
Last Updated: Jan 9, 2020

Practice Location

Address: 3423 N CENTREPOINT WAY UNIT G103
City: Meridian
State: Idaho
ZIP Code: 83646-6722
Phone: (309) 643-3712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X	Primary

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