Most Relevant Information
Provider Data
| NPI Number: | 1003268988 |
| Provider Name: | TIMOTHY JORDAN MILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 4329 |
Most Important Dates
| Enumeration Date: | 07/05/2016 |
| Last Updated: | 07/05/2016 |
Provider Practice Location
6401 FRANCE AVE S
REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
EDINA
MN
554352104
Practice Location Phone/Fax
| Phone: | 9529241313 |
| Fax: |
Provider Mailing Location
6401 FRANCE AVE S
REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
EDINA
MN
554352104
Provider Mailing Phone/Fax
| Phone: | 9529241313 |
| Fax: |