Individual
MRS. LOUISE R MILLER
Active
Individual
MRS. LOUISE R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC000727L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173599000
KEYSTONE HEALTH PLAN CENT
PA
01
—
50056661
CAPITAL BLUE CROSS
PA
Enumeration date
08/24/2006
Last updated
07/08/2007
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