Provider Demographics
NPI:1619208485
Name:MILLER, HELEN ANITA (PT)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:ANITA
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 APPALOOSA WAY
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-1627
Mailing Address - Country:US
Mailing Address - Phone:410-840-0126
Mailing Address - Fax:410-840-0127
Practice Address - Street 1:2400 APPALOOSA WAY
Practice Address - Street 2:
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048-1627
Practice Address - Country:US
Practice Address - Phone:410-840-0126
Practice Address - Fax:410-840-0127
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15924225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist