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Contact Information

BEAU MILLER
330 MISSION ROAD
GLENDALE, CA91205
 Phone: 310-924-5853
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for BEAU MILLER · (Male)

NPI # 1821489857
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2015
Last updated 02/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # AT 9620
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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