Individual
MRS. LISA HEATHER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
799 W BOYLSTON ST, WORCESTER, MA 01606-3071
(508) 854-0652
(508) 854-0733
Mailing address
15 SETON DR, SHREWSBURY, MA 01545-5468
(508) 845-6599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4205
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701998
—
MA
Enumeration date
04/17/2007
Last updated
07/08/2007
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