| NPI | 1841567179 |
|---|---|
| Former Name | EMELIA LOREN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38459) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: HI 3526) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2012-12-21 |