Individual
DIANE JEANETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
311 DECATUR ST, CUMBERLAND, MD 21502-2416
(301) 722-5890
Mailing address
600 PRIVATE RD, WARDENSVILLE, WV 26851-8377
(304) 874-3309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1162
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381-0013088
—
WV
Enumeration date
10/16/2008
Last updated
10/16/2008
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