Provider Demographics
NPI:1396907747
Name:MILLER, JOSHUA L (MPT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:L
Last Name:MILLER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:MR
Other - First Name:JOSHUA
Other - Middle Name:L
Other - Last Name:RUNSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:7992 HUNTLEY RD
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:PA
Mailing Address - Zip Code:16401-9622
Mailing Address - Country:US
Mailing Address - Phone:814-922-7976
Mailing Address - Fax:
Practice Address - Street 1:201 STATE ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16550-0002
Practice Address - Country:US
Practice Address - Phone:814-877-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019669225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist