Individual
MS. PEGGY SUE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1343 VILLAGE DRIVE, ST JOSEPH, MO 64506
(816) 232-2878
(816) 232-5056
Mailing address
1343 VILLAGE DRIVE, ST JOSEPH, MO 64506
(816) 232-2878
(816) 232-5056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004912
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23185031
BCBS
MO
Enumeration date
02/20/2007
Last updated
07/08/2007
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