Provider Demographics
NPI:1922330265
Name:MILLER, JAMIE ELLEN (DPT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ELLEN
Last Name:MILLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9800B MCKNIGHT RD
Mailing Address - Street 2:150
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6020
Mailing Address - Country:US
Mailing Address - Phone:412-364-2446
Mailing Address - Fax:412-364-5195
Practice Address - Street 1:9800B MCKNIGHT RD
Practice Address - Street 2:150
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6020
Practice Address - Country:US
Practice Address - Phone:412-364-2446
Practice Address - Fax:412-364-5195
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT0192702251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics