Provider Demographics
NPI:1538767884
Name:MILLER, S AYANNA (PT, DPT, PLCC)
Entity type:Individual
Prefix:DR
First Name:S AYANNA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT, DPT, PLCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5079 N DIXIE HWY # 131
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4000
Mailing Address - Country:US
Mailing Address - Phone:954-324-1266
Mailing Address - Fax:
Practice Address - Street 1:5079 N DIXIE HWY # 131
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4000
Practice Address - Country:US
Practice Address - Phone:954-324-1266
Practice Address - Fax:954-337-7889
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist