Miller, Phaedra Nicole

Miller, Phaedra Nicole is an sole proprietor health care provider with primary practice located at 355 Western Dr Apt L , Santa Cruz CA 95060-3046. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Miller, Phaedra Nicole can be contacted via phone (813) 966-1096.

Contact Information

Primary practice address
355 Western Dr Apt L Santa Cruz CA 95060-3046
Phone: (813) 966-1096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 10644 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 990 Hawaii
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 8777 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 1789 Colorado

Profile Details

NPI number 1619253739
LBN Legal business name Miller, Phaedra Nicole
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2011
Last updated Nov 3rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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