Individual
ROAZENA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR.
Contact information
Practice address
17030 130TH AVE APT 1D, JAMAICA, NY 11434-6005
(971) 706-7162
Mailing address
17030 130TH AVE APT 1D, JAMAICA, NY 11434-6005
(971) 706-7162
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
026023
NY
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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