Individual
KATHLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
(219) 983-9681
Mailing address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013550
MI
Other
Enumeration date
06/05/2017
Last updated
11/06/2023
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