Individual
KATHRYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 LAKE SUMMERSET RD, DAVIS, IL 61019-9401
(815) 793-4394
Mailing address
2085 LAKE SUMMERSET RD, DAVIS, IL 61019-9401
(815) 793-4394
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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