| NPI | 1225261332 |
|---|---|
| Former Name | HOLLY RENEE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 24939) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 24939) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2013-10-01 |