Individual
MRS. STASIA ELIZABETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
945 DUKE ST, LEBANON, PA 17042-7216
(717) 274-1495
(717) 272-1241
Mailing address
945 DUKE ST, LEBANON, PA 17042-7216
(717) 274-1495
(717) 272-1241
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP-002516-L
PA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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