| NPI | 1962765370 |
|---|---|
| Former Name | TERESA ANN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 005592) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-12-07 |