MRS. Tracey Reynee Miller, PTA

NPI #1619214681 in Venice, Florida

Provider Information

NPI Number: 1619214681
Entity Type: Individual
Name: MRS. Tracey Reynee Miller, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 11, 2013
Last Updated: Jan 11, 2013

Practice Location

Address: 1130 NANTUCKET RD
City: Venice
State: Florida
ZIP Code: 34293
Phone: (309) 945-5829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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