Provider Demographics
NPI:1508056201
Name:MILLER, RHONDA LORD (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:LORD
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 1:23631 SILVER CRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-4350
Mailing Address - Country:US
Mailing Address - Phone:210-481-0214
Mailing Address - Fax:210-481-0214
Practice Address - Street 1:23631 SILVER CRK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-4350
Practice Address - Country:US
Practice Address - Phone:210-481-0214
Practice Address - Fax:210-481-0214
Is Sole Proprietor?:No
Enumeration Date:2007-07-29
Last Update Date:2007-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1164500225100000X
LA04451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist