Provider Demographics
NPI:1437706595
Name:MILLER, INES (DPT)
Entity Type:Individual
Prefix:
First Name:INES
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:INES
Other - Middle Name:
Other - Last Name:ANTENSTEINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1461 N 40TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2003 SULLIVAN TRL
Practice Address - Street 2:
Practice Address - City:FORKS TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18040-8339
Practice Address - Country:US
Practice Address - Phone:484-503-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0260002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic