Individual
RAVEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6126 BLUE STONE AVE, HARRISBURG, PA 17112-2352
(717) 608-6706
Mailing address
6126 BLUE STONE AVE, HARRISBURG, PA 17112-2352
(717) 608-6706
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009775
PA
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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