Provider Demographics
NPI:1952922635
Name:MILLER, OLIVIA LEIGH BROWN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:LEIGH BROWN
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:LEIGH
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1480 N MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:VA
Mailing Address - Zip Code:22727-3093
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:69 BARRICKS LN STE E
Practice Address - Street 2:
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-4681
Practice Address - Country:US
Practice Address - Phone:434-332-3904
Practice Address - Fax:434-509-1695
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
VA2305213550225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist