| NPI | 1992805709 |
|---|---|
| Former Name | AMANDA LYNN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22524) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26927) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-04-01 |