Dallas Miller
Physical Therapy Assistant in Camarillo, CA. Individual provider (NPI-1).
NPI number1831642826
StatusActive
Last updated in NPPESJul 26, 2016
Details
- NPI
- 1831642826
- Entity type
- Individual (NPI-1)
- Name
- Dallas Miller
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2016
- Last updated
- Jul 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
288 Lightwood StCamarillo, CA 93012-7752
Phone 805-758-0777
Mailing address
288 Lightwood StCamarillo, CA 93012-7752
Phone 805-758-0777
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