Provider Demographics
NPI:1033171988
Name:MILLER, JUDY D (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:D
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4609 31ST AVE E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-4512
Mailing Address - Country:US
Mailing Address - Phone:205-554-2000
Mailing Address - Fax:205-554-2045
Practice Address - Street 1:4609 31ST AVE E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-4512
Practice Address - Country:US
Practice Address - Phone:205-554-2000
Practice Address - Fax:205-554-2045
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17678225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist