Provider Demographics
NPI:1700136389
Name:MILLER, NOAH SETH (DPT)
Entity Type:Individual
Prefix:DR
First Name:NOAH
Middle Name:SETH
Last Name:MILLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HOMESTEAD CIR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1694
Mailing Address - Country:US
Mailing Address - Phone:908-415-5414
Mailing Address - Fax:
Practice Address - Street 1:55-77 SCHANCK RD STE B-17
Practice Address - Street 2:GARDEN STATE PHYSICAL THERAPY GROUP
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2964
Practice Address - Country:US
Practice Address - Phone:908-415-5414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034763-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist