Laura C Miller, PT | |
15401 S Main St, Gardena, CA 90248-2214 | |
(424) 551-2833 | |
Not Available |
Full Name | Laura C Miller |
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Gender | Female |
Speciality | Physical Therapist |
Location | 15401 S Main St, Gardena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265454557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT26121 (California) | Primary |
Provider Name | Orthopaedic And Neurological Rehab Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431 |
Provider Name | Grandcare San Diego Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1811395353 PECOS PAC ID: 1850614827 Enrollment ID: O20220608000921 |
Mailing Address | Practice Location Address |
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Laura C Miller, PT 48624 Moon Terrace Ln, Palm Desert, CA 92260-6769 Ph: (619) 517-8087 | Laura C Miller, PT 15401 S Main St, Gardena, CA 90248-2214 Ph: (424) 551-2833 |
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