National Provider Identifier

Loretta J Miller, PT

Loretta J Miller, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 898-3801.

NPI 1982754677Buffalo, NYPhysical Therapist

Profile Overview

NPI
1982754677
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 12, 2007
Last Updated
July 08, 2007

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-3801

Mailing Address

  • 4717 Hermitage RD
  • Niagara Falls, NY 14305-3611

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1982754677
Entity Type
Individual
Last Name
Miller
First Name
Loretta
Middle Name
J
Name Prefix
Mrs.
Credential
PT
Provider Other Last Name
Rose
Provider Other First Name
Loretta
Provider Other Middle Name
J
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
PT
Provider Other Last Name Type Code
1
Mailing Street Address
4717 Hermitage RD
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14305-3611
Mailing Country
US
Mailing Phone
(716) 298-5317
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-3801
Practice Fax
(716) 897-8081
Enumeration Date
January 12, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)