Individual
MS. CORINNE CLARE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1280 CHANDLER DR, SPOONER, WI 54801-2202
(715) 939-1745
Mailing address
W8199 SAND RD, P.O. BOX 276, SHELL LAKE, WI 54871-8859
(715) 645-2579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5111-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100052982
—
WI
Enumeration date
12/13/2011
Last updated
01/04/2017
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