| NPI | 1023628260 |
|---|---|
| Former Name | KAYLA MARIE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 10960R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014728) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2021-06-14 |