Individual
CONNIE ANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
15802 PARKVIEW PLACE N, SURPRISE, AZ 85374-7466
(623) 876-7114
(623) 876-7046
Mailing address
15802 N PARKVIEW PLACE, SURPRISE, AZ 85374-7466
(623) 876-7114
(623) 876-7046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3098
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
815475
—
AZ
Enumeration date
02/07/2007
Last updated
07/09/2007
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