| NPI | 1992424170 |
|---|---|
| Former Name | LAUREN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-008904) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14368) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-09-29 |