Provider Demographics
NPI:1689656506
Name:MILLER, CARLA LYNN (LPT)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 COVEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1303
Mailing Address - Country:US
Mailing Address - Phone:724-285-5017
Mailing Address - Fax:
Practice Address - Street 1:205 SUNSET DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1301
Practice Address - Country:US
Practice Address - Phone:724-285-5546
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000562E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist