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Individual

ALLISON K MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
3109 E BRISTOL ST, ELKHART, IN 46514-4372
(574) 266-4508
Mailing address
125 E FRANKLIN ST, ELKHART, IN 46516-3609
(269) 370-3137

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008461
MI
225XG0600X
Gerontology Occupational Therapist

Other

Enumeration date
11/15/2013
Last updated
10/02/2020
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