Individual
AMANDA MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 N COLEMAN RD # 3075, CENTEREACH, NY 11720-3075
(631) 285-8600
Mailing address
50 LAKEVIEW CT, RONKONKOMA, NY 11779-3826
(631) 428-0792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027292-01
NY
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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