Latisha Miles

NPI #1457761413 in Kelseyville, California

Provider Information

NPI Number: 1457761413
Entity Type: Individual
Name: Latisha Miles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 30, 2014
Last Updated: Apr 30, 2014

Practice Location

Address: 9299 CHIPPEWA TRL
City: Kelseyville
State: California
ZIP Code: 95451-9696
Phone: (707) 245-6546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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