NPI 1205296217
Derrick James Miller, PTA
Practice location
- Address
- 205 E Kings Hwy, Eden, NC 27288-5239
- Phone
- (336) 623-9712
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1205296217
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Mar 2016
- Record last updated
- 3 Mar 2016
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.