Individual
MS. KATHERINE E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6201 W OLIVE AVE APT 2055, GLENDALE, AZ 85302-4568
(602) 369-0044
Mailing address
6201 W OLIVE AVE APT 2055, GLENDALE, AZ 85302-4568
(602) 369-0044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2210
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
566698
—
AZ
Enumeration date
03/12/2007
Last updated
01/08/2009
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