Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1891223889 |
---|---|
Provider Name | Ms. Marilyn Kay Miller |
First Address | Peekskill, NY 10566-5333 |
Second Address | Peekskill, NY 10566-5333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2017 |
Last Update Date | 02/06/2017 |