| NPI | 1619420015 |
|---|---|
| Former Name | ALYSSA R MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP-CP027853T) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0014261) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-03-11 |