Individual
LISA MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12600 N 113TH AVE, YOUNGTOWN, AZ 85363-1162
(602) 914-1332
Mailing address
17600 N 79TH AVE, APT. 725, GLENDALE, AZ 85308-8682
(623) 692-7119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3666
AZ
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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