NPI 1023583507

Chandra Miller, PTA

Practitioner Physical Therapy Assistant Phoenix, AZ

Practice location

Address: 7540 N 19th Ave STE 200, Phoenix, AZ 85021-7967
Phone: (802) 522-5967
Mailing address: PO Box 210, Plainfield, VT 05667-0210

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 041.0000436 (VT)

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Registry record

NPI: 1023583507
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2018
Record last updated: 10 Oct 2018

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.