Individual
DENISE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
107 E LONE PINE DR, PAYSON, AZ 85541-5558
(928) 474-6896
Mailing address
1001 N MATTERHORN RD, PAYSON, AZ 85541-3930
(480) 650-2678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2301
AZ
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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