Whalio Doctors

NPI 1205296217

Derrick James Miller, PTA

Practitioner Physical Therapy Assistant Eden, NC

Practice location

Address
205 E Kings Hwy, Eden, NC 27288-5239
Phone
(336) 623-9712

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5863 (NC)

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.