NPI 1003122912

Glenda Gail Miller, PTA

Practitioner Physical Therapy Assistant Windsor, IL

Practice location

Address: 819 Kentucky Ave, Windsor, IL 61957-1623
Phone: (217) 459-2277

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160000778 (IL)

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Registry record

NPI: 1003122912
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2010
Record last updated: 30 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.