Individual
LISA GAYLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2448 S 102ND ST, MILWAUKEE, WI 53227-2466
(414) 329-2500
Mailing address
2448 S 102ND ST, MILWAUKEE, WI 53227-2466
(414) 329-2500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
91
WI
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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