Provider Demographics
NPI:1861001281
Name:EILEEN MILLER, PT, DPT, PLLC
Entity Type:Organization
Organization Name:EILEEN MILLER, PT, DPT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PT/ OWNER/ PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, PLLC
Authorized Official - Phone:914-213-2048
Mailing Address - Street 1:20 BOWERS DR
Mailing Address - Street 2:
Mailing Address - City:HURLEYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12747-5029
Mailing Address - Country:US
Mailing Address - Phone:914-213-2048
Mailing Address - Fax:949-404-8435
Practice Address - Street 1:219 MAIN ST
Practice Address - Street 2:
Practice Address - City:HURLEYVILLE
Practice Address - State:NY
Practice Address - Zip Code:12747
Practice Address - Country:US
Practice Address - Phone:914-213-2048
Practice Address - Fax:949-404-8435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy