Individual
MRS. KIMBERLY SUE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL OCCUPATIONAL TH
Contact information
Practice address
723 E MAIN ST, BRADFORD, PA 16701-3242
(814) 362-4621
(814) 362-1066
Mailing address
PO BOX 182, 22 MAPLE STREET, RIXFORD, PA 16745-0182
(814) 465-9562
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009742
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013965240001
—
PA
Enumeration date
04/24/2007
Last updated
10/27/2015
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