| NPI | 1225489495 |
|---|---|
| Former Name | MAGGIE ROSEANN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 005114) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2115410) |
| 225200000X Physical Therapy Assistant (Licence: WI 2495-19) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2018-07-02 |