| NPI | 1518092964 |
|---|---|
| Former Name | MARILYN IDA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 5435) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-09 |