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Individual

SCOTT ALLEN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
501 VALLEY VIEW BLVD, ALTOONA, PA 16602-6410
(814) 944-5014
(814) 944-6500
Mailing address
246 RICHARDS DR, HOLLIDAYSBURG, PA 16648-9613
(814) 696-0859

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002348L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000023490012
PA
Enumeration date
03/07/2007
Last updated
07/08/2007
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