Individual
GINA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6317 HIGHWAY 329, CRESTWOOD, KY 40014-9040
(502) 384-0910
Mailing address
12501 CAPTAINS BRIDGE WAY, LOUISVILLE, KY 40223-1607
(502) 767-2164
(317) 858-8715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31005770A
IN
225XP0200X
Pediatric Occupational Therapist
Primary
134115
KY
Other
Enumeration date
11/06/2014
Last updated
05/15/2020
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