Provider Demographics
NPI:1487959524
Name:MILLER, LINDA M (PT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 MOUNT ZION CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ACME
Mailing Address - State:PA
Mailing Address - Zip Code:15610-1010
Mailing Address - Country:US
Mailing Address - Phone:724-542-7169
Mailing Address - Fax:724-542-7169
Practice Address - Street 1:2400 ARDMORE BLVD STE 700
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-5238
Practice Address - Country:US
Practice Address - Phone:724-243-1330
Practice Address - Fax:724-243-1144
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005646L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist