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Individual

FOREST DANIEL MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
50 N MALIN RD, BROOMALL, PA 19008-1429
(610) 356-0800
Mailing address
40 STONECROP LN, MANCHESTER, PA 17345-1346
(717) 676-3017

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14627
MA
225X00000X
Occupational Therapist
3349
NH
225X00000X
Occupational Therapist
OC015844
PA
225X00000X
Occupational Therapist
MA

Other

Enumeration date
08/30/2019
Last updated
09/15/2022
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