Individual
STEPHANIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 RIDGE RD, BOWDOINHAM, ME 04008-5803
(207) 208-5758
Mailing address
822 RIDGE RD, BOWDOINHAM, ME 04008-5803
(207) 208-5758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2746
ME
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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