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Contact Information

TRACEY R MILLER, PTA
1130 NANTUCKET RD
VENICE, FL34293
 Phone: 309-945-5829
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for TRACEY R MILLER · (Female)

NPI Number 1619214681
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 01/11/2013
Last updated 01/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PTA22880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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